Ball, Brooke

Ball, Brooke is an sole proprietor health care provider with primary practice located at 203 Constitution Dr Sw # B , Poplar Grove IL 61065-8729. She recently has 2 registered licenses in different health care specialties including Agencies / Nursing Care, Nursing Service Related Providers / Attendant Care Provider. Nursing Service Related Providers / Attendant Care Provider is her primary health care specialty. Ball, Brooke can be contacted via phone (815) 355-5369.

Contact Information

Primary practice address
203 Constitution Dr Sw # B Poplar Grove IL 61065-8729
Phone: (815) 355-5369
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Nursing Care 251J00000X
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1366063539
LBN Legal business name Ball, Brooke
Credentials Certified in Nursing Administration (CNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2020
Last updated Apr 29th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1366063539 NPPES
Other NONE NONE

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