St. John, Theodore James

St. John, Theodore James is an individual health care provider with primary practice located at 5866 Midland Rd , Freeland MI 48623-8707. 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. St. John, Theodore James can be contacted via phone (989) 573-8588.

Contact Information

Primary practice address
5866 Midland Rd Freeland MI 48623-8707
Phone: (989) 573-8588
Fax: (989) 573-8589
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5501301844 Michigan

Profile Details

NPI number 1679219638
LBN Legal business name St. John, Theodore James
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2022
Last updated Jun 9th, 2022 - about 3 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 1679219638 NPPES
Michigan Other S325792367996 DRIVERS LICENSE

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