JESSICA L CARLSON, Military Health Care Provider COAL VALLEY, IL

Contact Information

JESSICA L CARLSON

112 W 9TH ST
COAL VALLEY, IL 61240-9120

Phone: 309-644-2870
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Military Health Care Provider	171000000X

Indicates primary specialty

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NPI Profile & details for JESSICA L CARLSON · (Female)

NPI #	`1205422011`
Status	Active
Credentials
Entity	Individual
Enumeration date	12/15/2020
Last updated	12/15/2020 - About 5 years ago
Sole proprietor ¹	No
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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JESSICA L CARLSONMilitary Health Care Provider

Contact Information

Specialty

Military Health Care Provider

NPI Profile & details for JESSICA L CARLSON · (Female)

Reviews for JESSICA L CARLSON

JESSICA L CARLSON
Military Health Care Provider