1700516226 NPI number — MS. JESSICA REBECCA LAFOUNTAIN HIS

Table of content: MS. JESSICA REBECCA LAFOUNTAIN HIS (NPI 1700516226)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700516226 NPI number — MS. JESSICA REBECCA LAFOUNTAIN HIS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LAFOUNTAIN
Provider First Name:
JESSICA
Provider Middle Name:
REBECCA
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
HIS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700516226
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 N 36TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUINCY
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
62301-3704
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
217-221-8550
Provider Business Mailing Address Fax Number:
217-292-6564

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
105 N 36TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
QUINCY
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
62301-3704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
217-221-8550
Provider Business Practice Location Address Fax Number:
217-292-6564
Provider Enumeration Date:
06/16/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 237700000X , with the licence number:  3492 , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 3492 . This is a "IL HIS LICENSE" identifier , issued by the state of ( IL ) . This identifiers is of the category "OTHER".




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