Bruch-Harrison, Connie M
Bruch-Harrison, Connie M is an individual health care provider with primary practice located at 1 Kish Hospital Dr , Dekalb IL 60115-9602. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Bruch-Harrison, Connie M can be contacted via phone (815) 756-1521.Contact Information
Primary practice address
1 Kish Hospital Dr
Dekalb IL 60115-9602
Phone: (815) 756-1521
Fax: (815) 748-8395
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 041-226907 | Illinois |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 209-004518 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | CRNA1013 | Arizona |
Profile Details
NPI number | 1184626194 |
---|---|
LBN Legal business name | Bruch-Harrison, Connie M |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 10th, 2005 |
Last updated | Nov 8th, 2016 - about 8 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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