Fonseca, Omar

Fonseca, Omar is an individual health care provider with primary practice located at 2000 Lake Ave , Woodstock IL 60098-7401. 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. Fonseca, Omar can be contacted via phone (815) 206-3388.

Contact Information

Primary practice address
2000 Lake Ave Woodstock IL 60098-7401
Phone: (815) 206-3388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 160.009394 Illinois

Profile Details

NPI number 1366101420
LBN Legal business name Fonseca, Omar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2021
Last updated Dec 15th, 2021 - about 4 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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