Hermann, Alyssa M

Hermann, Alyssa M is an individual health care provider with primary practice located at 430 Pennsylvania Ave , Glen Ellyn IL 60137-4464. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hermann, Alyssa M can be contacted via phone (630) 469-9200.

Contact Information

Primary practice address
430 Pennsylvania Ave Glen Ellyn IL 60137-4464
Phone: (630) 469-9200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6368 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070016761 Illinois

Profile Details

NPI number 1215000567
LBN Legal business name Hermann, Alyssa M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated May 26th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215000567 NPPES
Wisconsin MEDICAID 40326600

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