Soukup, John
Soukup, John is an individual health care provider with primary practice located at 1650 Thompson Rd , Coos Bay OR 97420-2170. 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. Soukup, John can be contacted via phone (541) 269-7212.Contact Information
Primary practice address
1650 Thompson Rd
Coos Bay OR 97420-2170
Phone: (541) 269-7212
Fax: (541) 267-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 6090 | Oregon |
Profile Details
| NPI number | 1427091487 |
|---|---|
| LBN Legal business name | Soukup, John |
| Credentials | PT, MTC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 19th, 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.
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