Manrique, Miriam

Manrique, Miriam is an sole proprietor health care provider with primary practice located at 110 W Calendar Ave , La Grange IL 60525-2325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Manrique, Miriam can be contacted via phone (708) 745-5277.

Contact Information

Primary practice address
110 W Calendar Ave La Grange IL 60525-2325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209.029153 Illinois

Profile Details

NPI number 1104686203
LBN Legal business name Manrique, Miriam
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2024
Last updated Mar 21st, 2024 - about 2 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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