Connolly Brunner, Darcy A
Connolly Brunner, Darcy A is an sole proprietor health care provider with primary practice located at 1011 Loras Dr Ste C , Freeport IL 61032-6900. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Connolly Brunner, Darcy A can be contacted via phone (815) 233-2551.Contact Information
Primary practice address
1011 Loras Dr Ste C
Freeport IL 61032-6900
Phone: (815) 233-2551
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1649338765 |
|---|---|
| LBN Legal business name | Connolly Brunner, Darcy A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649338765 | NPPES |
| Illinois | Other | 08922552 | BLUE SHIELD NUMBER |
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