Miracle, Peggy

Miracle, Peggy is an individual health care provider with primary practice located at 1025 Maine St , Quincy IL 62301-4038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Miracle, Peggy can be contacted via phone (217) 222-6550.

Contact Information

Primary practice address
1025 Maine St Quincy IL 62301-4038
Phone: (217) 222-6550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209004172 Illinois

Profile Details

NPI number 1326011248
LBN Legal business name Miracle, Peggy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Feb 10th, 2010 - about 15 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 1326011248 NPPES
Illinois MEDICAID 427337209

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