Illig, Brooke

Illig, Brooke is an sole proprietor health care provider with primary practice located at 3481 Pointer Rd , West Branch MI 48661-9624. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Illig, Brooke can be contacted via phone (989) 787-0640.

Contact Information

Primary practice address
3481 Pointer Rd West Branch MI 48661-9624
Phone: (989) 787-0640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801098067 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801098067 Michigan

Profile Details

NPI number 1194174623
LBN Legal business name Illig, Brooke
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2016
Last updated Feb 23rd, 2022 - about 4 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 1194174623 NPPES
Michigan MEDICAID 1194174623

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