Mcclusky Ocasio, Bree Ann
Mcclusky Ocasio, Bree Ann is an individual health care provider with primary practice located at 2110 Fox Dr Ste B , Champaign IL 61820-7596. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mcclusky Ocasio, Bree Ann can be contacted via phone (217) 366-1323.Contact Information
Primary practice address
2110 Fox Dr Ste B
Champaign IL 61820-7596
Phone: (217) 366-1323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 70015763 | Illinois |
Profile Details
| NPI number | 1326231200 |
|---|---|
| LBN Legal business name | Mcclusky Ocasio, Bree Ann |
| Credentials | DPT, PT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jul 13th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326231200 | NPPES |
| Illinois | Other | 203 | BLUE CROSS PROVIDER ID |
| Illinois | Other | 7216 | BLUE CROSS PROVIDER ID |
| Illinois | Other | 113326 | BLUE CROSS PROVIDER ID |
| Illinois | Other | 4117 | BLUE CROSS PROVIDER ID |
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