Manrique, Miriam
Manrique, Miriam is an sole proprietor health care provider with primary practice located at 321 N La Grange Rd , La Grange Park IL 60526-5622. 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
321 N La Grange Rd
La Grange Park IL 60526-5622
Phone: (708) 745-5277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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 | Aug 6th, 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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