Staib, Brett
Staib, Brett is an individual health care provider with primary practice located at 3420 Illinois St Bhc 1007, Great Lakes IL 60088-3120. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Staib, Brett can be contacted via phone (847) 688-7536.Contact Information
Primary practice address
3420 Illinois St Bhc 1007
Great Lakes IL 60088-3120
Phone: (847) 688-7536
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X | California |
Profile Details
| NPI number | 1972793909 |
|---|---|
| LBN Legal business name | Staib, Brett |
| Credentials | NAVY IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2007 |
| Last updated | Jul 26th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972793909 | NPPES |
| Illinois | Other | 1710I1002X | TAXONOMY |
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