Bruell, Mary C

Bruell, Mary C is an individual health care provider with primary practice located at Dept Of Psychiatry 221 Ne Glen Oak 7 West, Peoria IL 61636-0001. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bruell, Mary C can be contacted via phone (309) 671-8222.

Contact Information

Primary practice address
Dept Of Psychiatry 221 Ne Glen Oak 7 West Peoria IL 61636-0001
Phone: (309) 671-8222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149008927 Illinois

Profile Details

NPI number 1659345007
LBN Legal business name Bruell, Mary C
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Nov 25th, 2009 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659345007 NPPES
Illinois Other 07215036 BCBS

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