Speight, Joycelyn L.

Speight, Joycelyn L. is an individual health care provider with primary practice located at 3535 N Bell School Rd , Rockford IL 61114-6624. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Speight, Joycelyn L. can be contacted via phone (779) 696-9400.

Contact Information

Primary practice address
3535 N Bell School Rd Rockford IL 61114-6624
Phone: (779) 696-9400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X A55035 California
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 036-130098 Illinois

Profile Details

NPI number 1336188705
LBN Legal business name Speight, Joycelyn L.
Credentials M.D., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 2nd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336188705 NPPES
California MEDICAID 00A550350
California MEDICAID 036130098

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