Martin, Patricia
Martin, Patricia is an individual health care provider with primary practice located at 520 E Boughton Rd , Bolingbrook IL 60440-2181. 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, Patricia can be contacted via phone (630) 783-2438.Contact Information
Primary practice address
520 E Boughton Rd
Bolingbrook IL 60440-2181
Phone: (630) 783-2438
Fax: (630) 739-2589
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070-006253 | Illinois |
Profile Details
NPI number | 1841335056 |
---|---|
LBN Legal business name | Martin, Patricia |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 21st, 2007 |
Last updated | Jan 25th, 2011 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841335056 | NPPES |
Indiana | Other | 11775364 | CAQH |
Indiana | Other | 1275738221 | CAQH |
Indiana | Other | 000000535153 | CAQH |
Indiana | Other | 0007714984 | CAQH |
Indiana | Other | 089937 | CAQH |
Indiana | Other | 260374180100 | CAQH |
Indiana | Other | 260374180 | CAQH |
Indiana | Other | 38856 | CAQH |
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