Brattain, Bernadine

Brattain, Bernadine is an individual health care provider with primary practice located at 5401 N Knoxville Ave Suite 400, Peoria IL 61614-5098. 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. Brattain, Bernadine can be contacted via phone (309) 692-6644.

Contact Information

Primary practice address
5401 N Knoxville Ave Suite 400 Peoria IL 61614-5098
Phone: (309) 692-6644
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1902078355
LBN Legal business name Brattain, Bernadine
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Mar 26th, 2008 - about 18 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 1902078355 NPPES
Illinois Other 7230175 BCBS

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