Schupp, Anthony

Schupp, Anthony 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. Schupp, Anthony 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:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070016473 Illinois

Profile Details

NPI number 1144483249
LBN Legal business name Schupp, Anthony
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated May 27th, 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 1144483249 NPPES
Illinois Other P00918646 RR MEDICARE PTAN

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