Maksymicz, Tanner

Maksymicz, Tanner is an individual health care provider with primary practice located at 1 University Cir , Macomb IL 61455-1367. 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. Maksymicz, Tanner can be contacted via phone (765) 891-0503.

Contact Information

Primary practice address
1 University Cir Macomb IL 61455-1367
Phone: (765) 891-0503
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004259 Illinois

Profile Details

NPI number 1457807414
LBN Legal business name Maksymicz, Tanner
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 9 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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