Reimbold, John
Reimbold, John is an sole proprietor health care provider with primary practice located at 1717 W Main Street , Carbondal IL 62901. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, Suppliers / Durable Medical Equipment & Medical Supplies. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. Reimbold, John can be contacted via phone (618) 457-6643.Contact Information
Primary practice address
1717 W Main Street
Carbondal IL 62901
Phone: (618) 457-6643
Fax: (618) 457-6643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | ||
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | IDPH0394 | Illinois |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | IDPH0394 | Illinois |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 147000156 | Illinois |
Profile Details
| NPI number | 1427069541 |
|---|---|
| LBN Legal business name | Reimbold, John |
| Credentials | MS CCCA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Oct 6th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427069541 | NPPES |
| Illinois | Other | 029298 | HEALTH ALLIANCE |
| Illinois | Other | 3970321 | HEALTH ALLIANCE |
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