Medema, Nicholas

Medema, Nicholas is an individual health care provider with primary practice located at 103 E Kent St , Streator IL 61364-2221. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Medema, Nicholas can be contacted via phone (815) 673-1770.

Contact Information

Primary practice address
103 E Kent St Streator IL 61364-2221
Phone: (815) 673-1770
Fax: (815) 673-1772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070022366 Illinois

Profile Details

NPI number 1750839635
LBN Legal business name Medema, Nicholas
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2016
Last updated Dec 14th, 2021 - about 3 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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