Anderson, Kody
Anderson, Kody is an individual health care provider with primary practice located at 1525 W Lincoln Hwy , Dekalb IL 60115-3989. 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. Anderson, Kody can be contacted via phone (815) 243-1824.Contact Information
Primary practice address
1525 W Lincoln Hwy
Dekalb IL 60115-3989
Phone: (815) 243-1824
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096003785 | Illinois |
Profile Details
NPI number | 1902384936 |
---|---|
LBN Legal business name | Anderson, Kody |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 1st, 2018 |
Last updated | Aug 1st, 2018 - about 6 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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