Longnecker, Laura Jill

Longnecker, Laura Jill is an sole proprietor health care provider with primary practice located at 1316 S State St , Jerseyville IL 62052-3617. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Longnecker, Laura Jill can be contacted via phone (618) 498-7244.

Contact Information

Primary practice address
1316 S State St Jerseyville IL 62052-3617
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046.010526 Illinois

Profile Details

NPI number 1023395225
LBN Legal business name Longnecker, Laura Jill
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 16th, 2011
Last updated Nov 16th, 2011 - about 14 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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