Birkner, Mindy A
Birkner, Mindy A is an sole proprietor health care provider with primary practice located at 21921 Dove Ln , Carlyle IL 62231-4717. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Birkner, Mindy A can be contacted via phone (618) 971-6979.Contact Information
Primary practice address
21921 Dove Ln
Carlyle IL 62231-4717
Phone: (618) 971-6979
Fax: (618) 749-2041
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 056007264 | Illinois |
Profile Details
NPI number | 1407958010 |
---|---|
LBN Legal business name | Birkner, Mindy A |
Credentials | OTD,OTR/L |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 3rd, 2006 |
Last updated | Sep 23rd, 2008 - about 16 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 | 1407958010 | NPPES |
Illinois | Other | 06032139 | BLUE SHIELD PROVIDER NUMB |
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