Spoden, Tanner

Spoden, Tanner is an sole proprietor health care provider with primary practice located at 1781 Kennsington Ln , Crystal Lake IL 60014-2051. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Spoden, Tanner can be contacted via phone (815) 353-5091.

Contact Information

Primary practice address
1781 Kennsington Ln Crystal Lake IL 60014-2051
Phone: (815) 353-5091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1326586538
LBN Legal business name Spoden, Tanner
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2017
Last updated May 17th, 2019 - about 6 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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