Middendorf, Brooke

Middendorf, Brooke is an sole proprietor health care provider with primary practice located at 433 Ogden Ave , Clarendon Hills IL 60514-2814. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Middendorf, Brooke can be contacted via phone (630) 320-8888.

Contact Information

Primary practice address
433 Ogden Ave Clarendon Hills IL 60514-2814
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 1179030 Illinois

Profile Details

NPI number 1346839263
LBN Legal business name Middendorf, Brooke
Credentials Certified Dental Assistant (CDA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 4 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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