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:
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Health care specialties

SpecialtyCodeLicense #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 14 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 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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