Bruno-Rodgers, Kierra La Shawn

Bruno-Rodgers, Kierra La Shawn is an sole proprietor health care provider with primary practice located at 712 N Dearborn St , Chicago IL 60654-3846. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, Allopathic & Osteopathic Physicians / Sports Medicine. Technologists, Technicians & Other Technical Service Providers / Surgical Technologist is her primary health care specialty. Bruno-Rodgers, Kierra La Shawn can be contacted via phone (708) 692-0728.

Contact Information

Primary practice address
712 N Dearborn St Chicago IL 60654-3846
Phone: (708) 692-0728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 238000612 Illinois

Profile Details

NPI number 1073080909
LBN Legal business name Bruno-Rodgers, Kierra La Shawn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 29th, 2018
Last updated Oct 30th, 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 1073080909 NPPES
Illinois Other 238000612 REGISTERED SURGICAL ASSISTANT

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