Engle, Brandon

Engle, Brandon is an individual health care provider with primary practice located at 2375 Shiloh Dr , Aurora IL 60503-6285. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Engle, Brandon can be contacted via phone (309) 738-1465.

Contact Information

Primary practice address
2375 Shiloh Dr Aurora IL 60503-6285
Phone: (309) 738-1465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.005543 Illinois

Profile Details

NPI number 1871977900
LBN Legal business name Engle, Brandon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2015
Last updated Jul 18th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871977900 NPPES
Illinois Other E524-0748-4226 DRIVERS LICENSE NUMBER

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