Klockenga, Emily Bernardes

Klockenga, Emily Bernardes is an sole proprietor health care provider with primary practice located at 2943 W White Oaks Dr Ste 1 , Springfield IL 62704-6596. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Klockenga, Emily Bernardes can be contacted via phone (217) 402-8455.

Contact Information

Primary practice address
2943 W White Oaks Dr Ste 1 Springfield IL 62704-6596
Phone: (217) 402-8455
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1093285454
LBN Legal business name Klockenga, Emily Bernardes
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2018
Last updated Nov 23rd, 2019 - about 6 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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