Eikstadt, Tanya Nadine

Eikstadt, Tanya Nadine is an sole proprietor health care provider with primary practice located at 5510 E State St , Rockford IL 61108-2381. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Eikstadt, Tanya Nadine can be contacted via phone (815) 395-4505.

Contact Information

Primary practice address
5510 E State St Rockford IL 61108-2381
Phone: (815) 395-4505
Fax: (815) 395-4507
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 1689789299
LBN Legal business name Eikstadt, Tanya Nadine
Credentials MS. ED, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2006
Last updated Jul 21st, 2022 - about 3 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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