Brockhouse, Victoria J
Brockhouse, Victoria J is an individual health care provider with primary practice located at 702 W Chestnut St , Bloomington IL 61701-2814. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Brockhouse, Victoria J can be contacted via phone (309) 567-1400.Contact Information
Primary practice address
702 W Chestnut St
Bloomington IL 61701-2814
Phone: (309) 567-1400
Fax: (309) 557-1461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 336.043935 | Illinois |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036081580 | Illinois |
Profile Details
| NPI number | 1790744555 |
|---|---|
| LBN Legal business name | Brockhouse, Victoria J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2006 |
| Last updated | Mar 15th, 2024 - about 9 months 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 | 1790744555 | NPPES |
| Other | 036081580 | STATE LIC | |
| Other | 833120 | STATE LIC | |
| MEDICAID | 036081580 | STATE LIC | |
| Other | 080040113 | STATE LIC | |
| Other | CA2264 | STATE LIC | |
| Other | 336043935 | STATE LIC |
Popular Providers
-
Chatterjee, Madhumita
3024 E Empire St Ste 3A , Bloomington IL 61704-5402 -
Pilcher, Stephen Christopher
9 Heartland Dr Suite C, Bloomington IL 61704-7732 -
Carmody, Susan
1505 Eastland Dr , Bloomington IL 61701-3534 -
Braun, David A
1505 Eastland Dr Suite 1100, Bloomington IL 61701-3591 -
Naseer, Jibran
11 Raspberry Rd , Bloomington IL 61704-2816 -
Spaniol, Jack P
308 Saint Joseph Dr , Bloomington IL 61701-3506 -
Royyuru, Sasikala
3024 E Empire St , Bloomington IL 61704-5402 -
Zacharias, Amy
702 W Chestnut St , Bloomington IL 61701-2814