Geraty, Brooke
Geraty, Brooke is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Geraty, Brooke can be contacted via phone (309) 664-3420.Contact Information
Primary practice address
1701 E College Ave
Bloomington IL 61704-2101
Phone: (309) 664-3420
Fax: (309) 664-3432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070012364 | Illinois |
Profile Details
| NPI number | 1376660506 |
|---|---|
| LBN Legal business name | Geraty, Brooke |
| Credentials | PT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2007 |
| Last updated | Sep 6th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376660506 | NPPES |
| Illinois | Other | 203 | BLUE CROSS PROV ID |
| Illinois | Other | 4117 | BLUE CROSS PROV ID |
| Illinois | Other | 113326 | BLUE CROSS PROV ID |
| Illinois | Other | 7216 | BLUE CROSS PROV ID |
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