Manieri, Lukas Dominic
Manieri, Lukas Dominic is an individual health care provider with primary practice located at 1111 Trinity Ln Ste 111 , Bloomington IL 61704-8112. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Manieri, Lukas Dominic can be contacted via phone (309) 663-6461.Contact Information
Primary practice address
1111 Trinity Ln Ste 111
Bloomington IL 61704-8112
Phone: (309) 663-6461
Fax: (309) 663-5711
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Technologists, Technicians & Other Technical Service Providers / Orthopedic Assistant | 246ZX2200X | 16-06-30 | Illinois |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096004560 | Illinois |
Profile Details
NPI number | 1164939179 |
---|---|
LBN Legal business name | Manieri, Lukas Dominic |
Credentials | ATC, OTC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2017 |
Last updated | Dec 29th, 2017 - about 7 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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