Hansen, Audrey Jo
Hansen, Audrey Jo is an individual health care provider with primary practice located at 205 Horton , Normal IL 61790-5120. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Hansen, Audrey Jo can be contacted via phone (309) 438-5366.Contact Information
Primary practice address
205 Horton
Normal IL 61790-5120
Phone: (309) 438-5366
Fax: (309) 438-5559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 09600175 | Illinois |
Profile Details
| NPI number | 1154381952 |
|---|---|
| LBN Legal business name | Hansen, Audrey Jo |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 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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