Marie, Gwenn None

Marie, Gwenn None is an sole proprietor health care provider with primary practice located at 2416 E Washington St Ste A9 , Bloomington IL 61704-1612. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Marie, Gwenn None can be contacted via phone (309) 310-6472.

Contact Information

Primary practice address
2416 E Washington St Ste A9 Bloomington IL 61704-1612
Phone: (309) 310-6472
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.001257 Illinois

Profile Details

NPI number 1164043113
LBN Legal business name Marie, Gwenn None
Credentials BCPP, BCTMB, LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2020
Last updated Apr 30th, 2020 - about 6 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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