Brucker, Tyler

Brucker, Tyler 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. Brucker, Tyler can be contacted via phone (217) 781-2560.

Contact Information

Primary practice address
10 Doctors Park Gibson City IL 60936-2009
Phone: (217) 781-2560
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 1104008333
LBN Legal business name Brucker, Tyler
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Nov 29th, 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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