Goken, Tyson A

Goken, Tyson A is an individual health care provider with primary practice located at 38 S Main St Ste Aandb , Sugar Grove IL 60554-5031. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Goken, Tyson A can be contacted via phone (631) 466-5866.

Contact Information

Primary practice address
38 S Main St Ste Aandb Sugar Grove IL 60554-5031
Phone: (631) 466-5866
Fax: (631) 466-5869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070018662 Illinois

Profile Details

NPI number 1538447941
LBN Legal business name Goken, Tyson A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2011
Last updated Sep 16th, 2022 - about 2 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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