Brattstrom Barrera, Candice
Brattstrom Barrera, Candice is an individual health care provider with primary practice located at 18237 Kedzie Ave , Homewood IL 60430-1411. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Brattstrom Barrera, Candice can be contacted via phone (708) 957-1868.Contact Information
Primary practice address
18237 Kedzie Ave
Homewood IL 60430-1411
Phone: (708) 957-1868
Fax: (708) 957-1925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 056001712 | Illinois |
Profile Details
| NPI number | 1073769394 |
|---|---|
| LBN Legal business name | Brattstrom Barrera, Candice |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Dec 11th, 2014 - about 11 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 | 1073769394 | NPPES |
| Illinois | Other | P00973809 | MEDICARE RAILROAD |
| Illinois | Other | P00852538 | MEDICARE RAILROAD |
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