Damron, Donald

Damron, Donald is an individual health care provider with primary practice located at 111 Spring St , Streator IL 61364-3332. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Damron, Donald can be contacted via phone (815) 673-4549.

Contact Information

Primary practice address
111 Spring St Streator IL 61364-3332
Phone: (815) 673-4549
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-012891 Illinois

Profile Details

NPI number 1992855423
LBN Legal business name Damron, Donald
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2007
Last updated Jun 28th, 2012 - about 12 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 1992855423 NPPES
Illinois Other 070-012891 PT STATE LICENSE #

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