Keutzer, Bernice M

Keutzer, Bernice M is an individual health care provider with primary practice located at 32169 - 2050 N Ave , Arlington IL 61312. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Keutzer, Bernice M can be contacted via phone (815) 894-2507.

Contact Information

Primary practice address
32169 - 2050 N Ave Arlington IL 61312
Phone: (815) 894-2507
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X Illinois

Profile Details

NPI number 1720081383
LBN Legal business name Keutzer, Bernice M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720081383 NPPES
Illinois Other 0632006 BLUECROSS BLUE SHIELD

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