Adolph, Jason Todd

Adolph, Jason Todd is an individual health care provider with primary practice located at 972 Brook Forest Ave , Shorewood IL 60431-8807. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Adolph, Jason Todd can be contacted via phone (815) 439-4938.

Contact Information

Primary practice address
972 Brook Forest Ave Shorewood IL 60431-8807
Phone: (815) 439-4938
Fax: (630) 439-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1255390266
LBN Legal business name Adolph, Jason Todd
Credentials MS, LAT ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 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.

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