Burque, Brandi Elizabeth
Burque, Brandi Elizabeth is an sole proprietor health care provider with primary practice located at 3915 Rockdale Dr , Champaign IL 61822-2051. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Burque, Brandi Elizabeth can be contacted via phone (954) 802-7419.Contact Information
Primary practice address
3915 Rockdale Dr
Champaign IL 61822-2051
Phone: (954) 802-7419
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1614 | Alabama |
Profile Details
| NPI number | 1952534026 |
|---|---|
| LBN Legal business name | Burque, Brandi Elizabeth |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 24th, 2009 |
| Last updated | Apr 5th, 2013 - about 11 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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