Selburg, Joan K

Selburg, Joan K is an individual health care provider with primary practice located at 120 Ne Glen Oak Ave Suite 407, Peoria IL 61603-4301. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Selburg, Joan K can be contacted via phone (309) 672-5975.

Contact Information

Primary practice address
120 Ne Glen Oak Ave Suite 407 Peoria IL 61603-4301
Phone: (309) 672-5975
Fax: (309) 655-1678
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 102326 Illinois

Profile Details

NPI number 1063538940
LBN Legal business name Selburg, Joan K
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 8th, 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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