Brumback, Linda

Brumback, Linda is an individual health care provider with primary practice located at 1525 Locust St , Red Bud IL 62278-1374. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Brumback, Linda can be contacted via phone (618) 282-6251.

Contact Information

Primary practice address
1525 Locust St Red Bud IL 62278-1374
Phone: (618) 282-6251
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 00616403

Profile Details

NPI number 1841704475
LBN Legal business name Brumback, Linda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2017
Last updated Nov 17th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841704475 NPPES
Illinois MEDICAID 00616403

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