Myers, Rachel
Myers, Rachel is an individual health care provider with primary practice located at 5401 N Knoxville Ave Ste 203 , Peoria IL 61614-5021. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Myers, Rachel can be contacted via phone (309) 689-6093.Contact Information
Primary practice address
5401 N Knoxville Ave Ste 203
Peoria IL 61614-5021
Phone: (309) 689-6093
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 209016208 | Illinois |
Profile Details
| NPI number | 1669996781 |
|---|---|
| LBN Legal business name | Myers, Rachel |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2017 |
| Last updated | Jan 7th, 2020 - about 5 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 | 1669996781 | NPPES |
| Illinois | Other | 209016208 | LICENSE |
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