Miatke, Tera Marie
Miatke, Tera Marie is an sole proprietor health care provider with primary practice located at 108 W Market St , Bloomington IL 61701-3918. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miatke, Tera Marie can be contacted via phone (309) 827-5351.Contact Information
Primary practice address
108 W Market St
Bloomington IL 61701-3918
Phone: (309) 827-5351
Fax: (309) 829-6808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Illinois |
Profile Details
| NPI number | 1669641361 |
|---|---|
| LBN Legal business name | Miatke, Tera Marie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2008 |
| Last updated | Mar 14th, 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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