Jeter, Roberta

Jeter, Roberta is an sole proprietor health care provider with primary practice located at 13146 W Newcastle Ln , Beach Park IL 60083-3001. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Jeter, Roberta can be contacted via phone (847) 977-3044.

Contact Information

Primary practice address
13146 W Newcastle Ln Beach Park IL 60083-3001
Phone: (847) 977-3044
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 020010599 Illinois

Profile Details

NPI number 1235594623
LBN Legal business name Jeter, Roberta
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 29th, 2015
Last updated Dec 29th, 2015 - 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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