Eubanks, Paul

Eubanks, Paul is an sole proprietor health care provider with primary practice located at 443 Finch Dr , Round Lake IL 60073-9558. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Eubanks, Paul can be contacted via phone (773) 316-6775.

Contact Information

Primary practice address
443 Finch Dr Round Lake IL 60073-9558
Phone: (773) 316-6775
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.008655 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 4988-146 Wisconsin

Profile Details

NPI number 1073882163
LBN Legal business name Eubanks, Paul
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 20th, 2011
Last updated Dec 20th, 2011 - about 13 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 1073882163 NPPES
Illinois Other 227.008655 MASSAGE THERAPIST
Illinois Other 4988-146 MASSAGE THERAPIST

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