Peek, Bridgette L

Peek, Bridgette L is an individual health care provider with primary practice located at 4500 Memorial Dr Anesthesia Dept, Belleville IL 62226-5360. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Peek, Bridgette L can be contacted via phone (618) 257-2175.

Contact Information

Primary practice address
4500 Memorial Dr Anesthesia Dept Belleville IL 62226-5360
Phone: (618) 257-2175
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209010259 Illinois

Profile Details

NPI number 1063752988
LBN Legal business name Peek, Bridgette L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2013
Last updated Dec 24th, 2016 - about 10 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 1063752988 NPPES
Illinois Other 92506 NBCRNA

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