Miller, Broda L
Miller, Broda L is an individual health care provider with primary practice located at 639 York St Rm 212 , Quincy IL 62301-3919. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Miller, Broda L can be contacted via phone (217) 222-6277.Contact Information
Primary practice address
639 York St Rm 212
Quincy IL 62301-3919
Phone: (217) 222-6277
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 043089365 | Illinois |
Profile Details
| NPI number | 1649043753 |
|---|---|
| LBN Legal business name | Miller, Broda L |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2023 |
| Last updated | Jun 7th, 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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