Brattain, Bernadine
Brattain, Bernadine is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5098. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Brattain, Bernadine can be contacted via phone (309) 692-6644.Contact Information
Primary practice address
5401 N Knoxville Ave Suite 400
Peoria IL 61614-5098
Phone: (309) 692-6644
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Surgical Technologist | 246ZS0410X |
Profile Details
| NPI number | 1902078355 |
|---|---|
| LBN Legal business name | Brattain, Bernadine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2008 |
| Last updated | Mar 26th, 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 | 1902078355 | NPPES |
| Illinois | Other | 7230175 | BCBS |
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