Halstead, Thane Rockwell

Halstead, Thane Rockwell is an individual health care provider with primary practice located at 1201 W New York St , Aurora IL 60506-3667. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Halstead, Thane Rockwell can be contacted via phone (630) 301-6629.

Contact Information

Primary practice address
1201 W New York St Aurora IL 60506-3667
Phone: (630) 301-6629
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096-0000388 Illinois

Profile Details

NPI number 1629047568
LBN Legal business name Halstead, Thane Rockwell
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 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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