Brodie, Matt

Brodie, Matt is an sole proprietor health care provider with primary practice located at 5381 Burr Oak Rd , Lisle IL 60532-2107. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other, which is considered as his primary health care specialty. Brodie, Matt can be contacted via phone (618) 806-4264.

Contact Information

Primary practice address
5381 Burr Oak Rd Lisle IL 60532-2107
Phone: (618) 806-4264
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist, Other 246Z00000X 096003519 Illinois

Profile Details

NPI number 1336545656
LBN Legal business name Brodie, Matt
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2014
Last updated Nov 13th, 2014 - about 10 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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