Johnson, Kyle Michael

Johnson, Kyle Michael is an sole proprietor health care provider with primary practice located at 320 E Carpenter St 1-B, Springfield IL 62702-5185. 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. Johnson, Kyle Michael can be contacted via phone (217) 744-8000.

Contact Information

Primary practice address
320 E Carpenter St 1-B Springfield IL 62702-5185
Phone: (217) 744-8000
Fax: (217) 744-8004
Website:
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Health care specialties

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

Profile Details

NPI number 1528070539
LBN Legal business name Johnson, Kyle Michael
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 18 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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