Brosseau, Miragene

Brosseau, Miragene is an individual health care provider with primary practice located at 125 S 4Th St , Watseka IL 60970-1601. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Brosseau, Miragene can be contacted via phone (815) 432-5430.

Contact Information

Primary practice address
125 S 4Th St Watseka IL 60970-1601
Fax: (815) 432-6024
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Illinois

Profile Details

NPI number 1578733556
LBN Legal business name Brosseau, Miragene
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 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.

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