Neelly, Kurt R
Neelly, Kurt R is an individual health care provider with primary practice located at 209 N Cummings Ln , Washington IL 61571-2181. 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. Neelly, Kurt R can be contacted via phone (309) 886-2305.Contact Information
Primary practice address
209 N Cummings Ln
Washington IL 61571-2181
Phone: (309) 886-2305
Fax: (309) 444-3893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070011538 | Illinois |
Profile Details
| NPI number | 1467503680 |
|---|---|
| LBN Legal business name | Neelly, Kurt R |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 15th, 2007 |
| Last updated | Nov 5th, 2009 - about 16 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 | 1467503680 | NPPES |
| Illinois | Other | 0029040291 | IL BLUE CROSS BLUE SHIELD |
| Illinois | Other | 10759614 | IL BLUE CROSS BLUE SHIELD |
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