Petty, W Michael

Petty, W Michael is an sole proprietor health care provider with primary practice located at 14330 S Heatherwood Dr , Homer Glen IL 60491-9144. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Petty, W Michael can be contacted via phone (708) 301-7567.

Contact Information

Primary practice address
14330 S Heatherwood Dr Homer Glen IL 60491-9144
Phone: (708) 301-7567
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1518098490
LBN Legal business name Petty, W Michael
Credentials ATC, LAT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 17 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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