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Contact Information

JENNIFER RHODES
11960 WESTLINE INDUSTRIAL DR
SAINT LOUIS, MO63146-3209
 Phone: 631-468-6643
 Fax: 866-938-9444
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prevention Professional

405300000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JENNIFER RHODES · (Female)

NPI Number 1376075150
Status Active
Credentials
Entity Individual
Enumeration date 03/30/2017
Last updated 03/30/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 057.001538
  • MO License # 2016036722
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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