Versis, Jacquelyn Serena
Versis, Jacquelyn Serena is an individual health care provider with primary practice located at 4822 Caton Farm Rd , Plainfield IL 60586-8262. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Versis, Jacquelyn Serena can be contacted via phone (815) 439-5882.Contact Information
Primary practice address
4822 Caton Farm Rd
Plainfield IL 60586-8262
Phone: (815) 439-5882
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | PS48047 | Florida |
| Pharmacy Service Providers / Pharmacist | 183500000X | 051.297375 | Illinois |
Profile Details
| NPI number | 1801166244 |
|---|---|
| LBN Legal business name | Versis, Jacquelyn Serena |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2012 |
| Last updated | Dec 21st, 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.
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