Boscolo, Marco S

Boscolo, Marco S is an individual health care provider with primary practice located at 10 Doctors Park , Gibson City IL 60936-2009. 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. Boscolo, Marco S can be contacted via phone (217) 784-2650.

Contact Information

Primary practice address
10 Doctors Park Gibson City IL 60936-2009
Phone: (217) 784-2650
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 1699805481
LBN Legal business name Boscolo, Marco S
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jul 9th, 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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