Jefferson, Chianta A.
Jefferson, Chianta A. is an individual health care provider with primary practice located at 335 Dawn Ave Apt 2 , Rockford IL 61107-5047. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Jefferson, Chianta A. can be contacted via phone (779) 300-3293.Contact Information
Primary practice address
335 Dawn Ave Apt 2
Rockford IL 61107-5047
Phone: (779) 300-3293
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1588015606 |
|---|---|
| LBN Legal business name | Jefferson, Chianta A. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2016 |
| Last updated | Jun 30th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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