Kellogg, Breanna Elizabeth-Howe

Kellogg, Breanna Elizabeth-Howe is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Kellogg, Breanna Elizabeth-Howe can be contacted via phone (708) 216-9000.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (708) 216-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 363A00000X Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006681 Illinois

Profile Details

NPI number 1912376856
LBN Legal business name Kellogg, Breanna Elizabeth-Howe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated May 21st, 2022 - about 3 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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