Brueckner, Leah M

Brueckner, Leah M is an individual health care provider with primary practice located at 401 Chaffer Ave , Roxana IL 62084-1125. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Brueckner, Leah M can be contacted via phone (618) 920-2452.

Contact Information

Primary practice address
401 Chaffer Ave Roxana IL 62084-1125
Phone: (618) 920-2452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.001407 Illinois

Profile Details

NPI number 1801504923
LBN Legal business name Brueckner, Leah M
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2022
Last updated Nov 8th, 2022 - about 3 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.

Request for update

Popular Providers