Brainard, Ginger Kendell

Brainard, Ginger Kendell is an individual health care provider with primary practice located at 2970 Chartres St , La Salle IL 61301-1097. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Brainard, Ginger Kendell can be contacted via phone (815) 223-0196.

Contact Information

Primary practice address
2970 Chartres St La Salle IL 61301-1097
Phone: (815) 223-0196
Fax: (815) 223-0358
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 071006571 Illinois

Profile Details

NPI number 1871842450
LBN Legal business name Brainard, Ginger Kendell
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Aug 29th, 2012 - about 13 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 1871842450 NPPES
Illinois Other 071006571 ILLINOIS LICENSE 071006571

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