Haidsiak, Michael B
Haidsiak, Michael B is an individual health care provider with primary practice located at 465 42Nd Ave Ste 140 , East Moline IL 61244-4004. 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. Haidsiak, Michael B can be contacted via phone (309) 779-3490.Contact Information
Primary practice address
465 42Nd Ave Ste 140
East Moline IL 61244-4004
Phone: (309) 779-3490
Fax: (309) 779-5615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070009596 | Illinois |
Profile Details
| NPI number | 1316273519 |
|---|---|
| LBN Legal business name | Haidsiak, Michael B |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 22nd, 2009 |
| Last updated | Oct 22nd, 2009 - about 15 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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