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
Fax: (618) 749-2041
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407958010 NPPES
Illinois Other 06032139 BLUE SHIELD PROVIDER NUMB

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