Braddock, Nancy C
Braddock, Nancy C is an individual health care provider with primary practice located at 311 W Lincoln St Ste 201, Belleville IL 62220-1902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Braddock, Nancy C can be contacted via phone (618) 222-3200.Contact Information
Primary practice address
311 W Lincoln St Ste 201
Belleville IL 62220-1902
Phone: (618) 222-3200
Fax: (618) 222-3203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2011035522 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 085002020 | Illinois |
Profile Details
NPI number | 1437275252 |
---|---|
LBN Legal business name | Braddock, Nancy C |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2007 |
Last updated | Sep 12th, 2018 - about 6 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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