Russel, Jennifer Leigh

Russel, Jennifer Leigh is an individual health care provider with primary practice located at 5220 6Th Street Frontage Rd E Ste 1700 , Springfield IL 62703-5771. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Russel, Jennifer Leigh can be contacted via phone (217) 525-8332.

Contact Information

Primary practice address
5220 6Th Street Frontage Rd E Ste 1700 Springfield IL 62703-5771
Phone: (217) 525-8332
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1235619891
LBN Legal business name Russel, Jennifer Leigh
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2018
Last updated Aug 14th, 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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