Bruch, Jillian Marie
Bruch, Jillian Marie is an individual health care provider with primary practice located at 24 Ginger Creek Pkwy , Glen Carbon IL 62034-3502. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bruch, Jillian Marie can be contacted via phone (618) 692-1110.Contact Information
Primary practice address
24 Ginger Creek Pkwy
Glen Carbon IL 62034-3502
Phone: (618) 692-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019030183 | Illinois |
Profile Details
| NPI number | 1952783490 |
|---|---|
| LBN Legal business name | Bruch, Jillian Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2015 |
| Last updated | Jun 21st, 2015 - about 10 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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