Brantley, Pamela Diane
Brantley, Pamela Diane is an sole proprietor health care provider with primary practice located at 1473 Ring Rd , Calumet City IL 60409-5459. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Brantley, Pamela Diane can be contacted via phone (708) 862-8156.Contact Information
Primary practice address
1473 Ring Rd
Calumet City IL 60409-5459
Phone: (708) 862-8156
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209023922 | Illinois |
Profile Details
| NPI number | 1467123448 |
|---|---|
| LBN Legal business name | Brantley, Pamela Diane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2021 |
| Last updated | May 20th, 2026 - about 6 months 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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