Brinkoetter, Tara

Brinkoetter, Tara is an sole proprietor health care provider with primary practice located at 108 W Market St , Bloomington IL 61701-3918. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brinkoetter, Tara can be contacted via phone (309) 827-5351.

Contact Information

Primary practice address
108 W Market St Bloomington IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1669639050
LBN Legal business name Brinkoetter, Tara
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2008
Last updated Oct 20th, 2020 - about 4 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.

Request for update

Popular Providers