Cowherd, Brigette

Cowherd, Brigette is an individual health care provider with primary practice located at 800 N Larkin Ave , Joliet IL 60435-3429. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cowherd, Brigette can be contacted via phone (815) 741-4300.

Contact Information

Primary practice address
800 N Larkin Ave Joliet IL 60435-3429
Phone: (815) 741-4300
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2016006195 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085007650 Illinois

Profile Details

NPI number 1710347984
LBN Legal business name Cowherd, Brigette
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2016
Last updated Jul 1st, 2020 - about 6 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 1710347984 NPPES
Missouri Other PENDING RR MEDICARE
Missouri MEDICAID 220030033 RR MEDICARE
Missouri MEDICAID PENDING RR MEDICARE

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