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Contact Information

TINA G CANADA, RN BSN
1000 W HARLEM AVE
MONMOUTH, IL61462-1007
 Phone: 309-734-1424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diabetes Educator

163WD0400X
Indicates primary specialty

NPI Profile & details for TINA G CANADA · (Female)

NPI # 1508396045
Status Active
Credentials RN BSN
Entity Individual
Enumeration date 06/18/2017
Last updated 06/18/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 041-218084
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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