Gratton, Mark D
Gratton, Mark D is an individual health care provider with primary practice located at 902 Illini Dr , Silvis IL 61282-4700. 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. Gratton, Mark D can be contacted via phone (309) 796-3450.Contact Information
Primary practice address
902 Illini Dr
Silvis IL 61282-4700
Phone: (309) 796-3450
Fax: (309) 796-3460
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-013475 | Illinois |
Profile Details
| NPI number | 1154378651 |
|---|---|
| LBN Legal business name | Gratton, Mark D |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2006 |
| Last updated | Apr 11th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154378651 | NPPES |
| Illinois | Other | 070-013475 | ILLINOIS PT LICENSE NUMBE |
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