Anderson, Nathaniel Bo

Anderson, Nathaniel Bo is an individual health care provider with primary practice located at 6560 W Fullerton Ave , Chicago IL 60707-3439. 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, Nathaniel Bo can be contacted via phone (773) 745-0338.

Contact Information

Primary practice address
6560 W Fullerton Ave Chicago IL 60707-3439
Phone: (773) 745-0338
Fax:
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 1811181969
LBN Legal business name Anderson, Nathaniel Bo
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 2007 - about 17 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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