Hayden, Debra J

Hayden, Debra J is an individual health care provider with primary practice located at 70 Meadowview Ctr Suite 300, Kankakee IL 60901-2047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hayden, Debra J can be contacted via phone (815) 802-0022.

Contact Information

Primary practice address
70 Meadowview Ctr Suite 300 Kankakee IL 60901-2047
Phone: (815) 802-0022
Fax: (815) 802-0011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209-003859 Illinois

Profile Details

NPI number 1528167103
LBN Legal business name Hayden, Debra J
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Oct 20th, 2015 - about 10 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 1528167103 NPPES
Illinois Other 20-9003859 STATE LICENSE

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