Baltazar, Domingo

Baltazar, Domingo is an individual health care provider with primary practice located at 901 S Austin Blvd , Chicago IL 60644-5311. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Baltazar, Domingo can be contacted via phone (773) 287-9181.

Contact Information

Primary practice address
901 S Austin Blvd Chicago IL 60644-5311
Phone: (773) 287-9181
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1336437375
LBN Legal business name Baltazar, Domingo
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2011
Last updated Jul 12th, 2011 - about 14 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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