Juckett, Johneil Torena
Juckett, Johneil Torena is an sole proprietor health care provider with primary practice located at 33707 N Lake Shore Dr , Gages Lake IL 60030-1748. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Juckett, Johneil Torena can be contacted via phone (847) 521-9559.Contact Information
Primary practice address
33707 N Lake Shore Dr
Gages Lake IL 60030-1748
Phone: (847) 521-9559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 227008214 | Illinois |
Profile Details
| NPI number | 1558505982 |
|---|---|
| LBN Legal business name | Juckett, Johneil Torena |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2009 |
| Last updated | Apr 29th, 2009 - about 17 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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