Hutchison, Brenda

Hutchison, Brenda is an individual health care provider with primary practice located at 1200 W Deyoung St , Marion IL 62959-4437. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Hutchison, Brenda can be contacted via phone (618) 993-5686.

Contact Information

Primary practice address
1200 W Deyoung St Marion IL 62959-4437
Phone: (618) 993-5686
Fax: (618) 997-6250
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046-008929 Illinois

Profile Details

NPI number 1780671164
LBN Legal business name Hutchison, Brenda
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Oct 1st, 2008 - about 16 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 1780671164 NPPES
Illinois Other 0814870020 MEDICARE NSC NUMBER
Illinois Other 180035690 MEDICARE NSC NUMBER
Illinois Other IL8929 MEDICARE NSC NUMBER
Illinois Other 0814870001 MEDICARE NSC NUMBER
Illinois Other 237032 MEDICARE NSC NUMBER
Illinois Other 050280 MEDICARE NSC NUMBER
Illinois MEDICAID 046008929 MEDICARE NSC NUMBER

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