Bilbrey, Clark Tanner

Bilbrey, Clark Tanner is an individual health care provider with primary practice located at 3691 Willowcreek Rd , Portage IN 46368-5080. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Bilbrey, Clark Tanner can be contacted via phone (219) 921-1444.

Contact Information

Primary practice address
3691 Willowcreek Rd Portage IN 46368-5080
Phone: (219) 921-1444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 36003318A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05013728A Indiana

Profile Details

NPI number 1427672740
LBN Legal business name Bilbrey, Clark Tanner
Credentials PT, DPT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427672740 NPPES
Indiana Other 05013728A INDIANA PROFESSIONAL LICENSING AGENCY
Indiana Other 36003318A INDIANA PROFESSIONAL LICENSING AGENCY

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