Pardieck, Brenna Michelle
Pardieck, Brenna Michelle is an sole proprietor health care provider with primary practice located at 3700 W Chartwell Rd , Peoria IL 61614-8151. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Pardieck, Brenna Michelle can be contacted via phone (309) 224-9297.Contact Information
Primary practice address
3700 W Chartwell Rd
Peoria IL 61614-8151
Phone: (309) 224-9297
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 1893747 | Illinois |
Profile Details
| NPI number | 1518485838 |
|---|---|
| LBN Legal business name | Pardieck, Brenna Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2017 |
| Last updated | Sep 7th, 2017 - about 9 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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