Fadullon, Joseph Donayre

Fadullon, Joseph Donayre is an sole proprietor health care provider with primary practice located at 386 Clubhouse St , Bolingbrook IL 60490-2119. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Fadullon, Joseph Donayre can be contacted via phone (906) 748-0183.

Contact Information

Primary practice address
386 Clubhouse St Bolingbrook IL 60490-2119
Phone: (906) 748-0183
Fax: (630) 759-6873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501007885 Michigan
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics 2251G0304X 5501007885 Michigan

Profile Details

NPI number 1386786432
LBN Legal business name Fadullon, Joseph Donayre
Credentials PHYSICAL THERAPIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2007
Last updated Aug 20th, 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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