Miller, Gina Brunetti

Miller, Gina Brunetti is an sole proprietor health care provider with primary practice located at 3701 E Lake Ctr Ste 8, Quincy IL 62305-5842. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Miller, Gina Brunetti can be contacted via phone (573) 406-7643.

Contact Information

Primary practice address
3701 E Lake Ctr Ste 8 Quincy IL 62305-5842
Phone: (573) 406-7643
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004076 Missouri
Behavioral Health & Social Service Providers / Professional 101YP2500X Illinois

Profile Details

NPI number 1083736235
LBN Legal business name Miller, Gina Brunetti
Credentials MS, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2007
Last updated Jul 9th, 2007 - about 17 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 1083736235 NPPES
Illinois Other 073138 HEALTH BENIFIT ALLIANCE
Illinois Other 00132045 HEALTH BENIFIT ALLIANCE
Illinois Other 491782 HEALTH BENIFIT ALLIANCE

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