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Contact Information

JESSICA BRUIN, D.C.
2710 E LINCOLN ST
BLOOMINGTON, IL61704
 Phone: 309-662-8418
 Fax: 309-662-8197
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JESSICA BRUIN · (Female)

NPI # 1578865499
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 11/29/2010
Last updated 08/27/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 038011818
  • NY License # 70011940
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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