Bronson, Taura

Bronson, Taura is an individual health care provider with primary practice located at 20146 Arroyo Ave , Lynwood IL 60411-1563. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Bronson, Taura can be contacted via phone (773) 851-2311.

Contact Information

Primary practice address
20146 Arroyo Ave Lynwood IL 60411-1563
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Illinois

Profile Details

NPI number 1770959397
LBN Legal business name Bronson, Taura
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 10 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 1770959397 NPPES
Illinois MEDICAID 000000000

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