Brueggeman, Emily Ann

Brueggeman, Emily Ann is an individual health care provider with primary practice located at 108 Magnolia Dr Ste A , Glen Carbon IL 62034. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Brueggeman, Emily Ann can be contacted via phone (618) 692-0000.

Contact Information

Primary practice address
108 Magnolia Dr Ste A Glen Carbon IL 62034
Fax: (618) 655-1550
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038010063 Illinois

Profile Details

NPI number 1225092885
LBN Legal business name Brueggeman, Emily Ann
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Aug 21st, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225092885 NPPES
Illinois Other 6032085 BCBS
Illinois Other 626975 BCBS
Illinois Other 841629518 BCBS
Illinois MEDICAID 038010063 BCBS
Illinois Other 7920490 BCBS

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