Bryan, Micaela

Bryan, Micaela is an individual health care provider with primary practice located at 988 N Illinois Route 3 , Waterloo IL 62298-1059. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Bryan, Micaela can be contacted via phone (618) 939-4444.

Contact Information

Primary practice address
988 N Illinois Route 3 Waterloo IL 62298-1059
Phone: (618) 939-4444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1245881796
LBN Legal business name Bryan, Micaela
Credentials RSA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2019
Last updated Sep 26th, 2019 - 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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