Beitzel, Brenda L
Beitzel, Brenda L is an individual health care provider with primary practice located at 137 Cedar Ave , Lake Villa IL 60046. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Beitzel, Brenda L can be contacted via phone (847) 265-7300.Contact Information
Primary practice address
137 Cedar Ave
Lake Villa IL 60046
Phone: (847) 265-7300
Fax: (847) 265-7301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | Illinois |
Profile Details
| NPI number | 1528108230 |
|---|---|
| LBN Legal business name | Beitzel, Brenda L |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528108230 | NPPES |
| Illinois | Other | 04932271 | BLUE SHIELD |
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