Luis, Carlos Daniel

Luis, Carlos Daniel is an individual health care provider with primary practice located at 12603 State Route 143 Ste. #8, Highland IL 62249-1199. 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. Luis, Carlos Daniel can be contacted via phone (618) 654-4701.

Contact Information

Primary practice address
12603 State Route 143 Ste. #8 Highland IL 62249-1199
Phone: (618) 654-4701
Fax: (618) 654-4739
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.003450 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2013023627 Missouri

Profile Details

NPI number 1295160984
LBN Legal business name Luis, Carlos Daniel
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2013
Last updated Sep 12th, 2013 - about 12 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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