Martin, Mary Ellen

Martin, Mary Ellen is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Martin, Mary Ellen can be contacted via phone (630) 587-5788.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Phone: (630) 587-5788
Fax: (630) 587-8570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070004444 Illinois

Profile Details

NPI number 1346350568
LBN Legal business name Martin, Mary Ellen
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 14th, 2015 - about 10 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 1346350568 NPPES
Illinois Other 367885100 US DEPT OF LABOR
Illinois Other 1623066 US DEPT OF LABOR
Illinois Other 1619908 US DEPT OF LABOR

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