Monckton, Jacqueline Doris

Monckton, Jacqueline Doris is an sole proprietor health care provider with primary practice located at 5037 N Edgebrook Dr , Peoria IL 61614-4826. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Monckton, Jacqueline Doris can be contacted via phone (309) 657-3303.

Contact Information

Primary practice address
5037 N Edgebrook Dr Peoria IL 61614-4826
Phone: (309) 657-3303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160000586 Illinois

Profile Details

NPI number 1871078899
LBN Legal business name Monckton, Jacqueline Doris
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 25th, 2018
Last updated Sep 25th, 2018 - about 8 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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