Lyons, Sean P

Lyons, Sean P is an individual health care provider with primary practice located at 520 Valley View Dr Ste 200 , Moline IL 61265-6152. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Lyons, Sean P can be contacted via phone (309) 797-0866.

Contact Information

Primary practice address
520 Valley View Dr Ste 200 Moline IL 61265-6152
Fax: (309) 797-0872
Website:

Profile Details

NPI number 1922055474
LBN Legal business name Lyons, Sean P
Credentials OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Apr 12th, 2012 - about 13 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 1922055474 NPPES
Iowa Other 00605 IOWA OT LICENSE NUMBER
Iowa Other 056-003003 IOWA OT LICENSE NUMBER

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