Larry, Patrick

Larry, Patrick is an individual health care provider with primary practice located at 1613 Burning Tree Dr , Decatur IL 62521-9151. 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. Larry, Patrick can be contacted via phone (217) 865-2637.

Contact Information

Primary practice address
1613 Burning Tree Dr Decatur IL 62521-9151
Phone: (217) 865-2637
Fax:
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 1205822863
LBN Legal business name Larry, Patrick
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
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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