Komnick, Elizabeth
Komnick, Elizabeth is an individual health care provider with primary practice located at 2300 N. Edward St. , Decatur IL 62526. 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. Komnick, Elizabeth can be contacted via phone (217) 876-2600.Contact Information
Primary practice address
2300 N. Edward St.
Decatur IL 62526
Phone: (217) 876-2600
Fax: (217) 876-2615
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070014618 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.014618 | Illinois |
Profile Details
| NPI number | 1073639571 |
|---|---|
| LBN Legal business name | Komnick, Elizabeth |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Nov 26th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073639571 | NPPES |
| Other | 113326 | HEALTHLINK PROV ID | |
| Other | 4117 | HEALTHLINK PROV ID | |
| Other | 203 | HEALTHLINK PROV ID | |
| Other | 7216 | HEALTHLINK PROV ID |
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