National Provider Identifier Database

JESSICA BROUGH
Surgical


Contact Information

JESSICA BROUGH
800 N 1ST ST
SPRINGFIELD, IL62702-3778
Phone: 217-528-7541
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X
Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for JESSICA BROUGH

NPI Number 1356961908
Credentials
Entity Individual
Enumeration date 04/23/2020
Last updated 05/01/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 085008034
Hospital affiliation n/a

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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