Statler, Phillip G

Statler, Phillip G is an sole proprietor health care provider with primary practice located at 1752 Windsor Rd , Loves Park IL 61111-4280. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Statler, Phillip G can be contacted via phone (815) 977-3747.

Contact Information

Primary practice address
1752 Windsor Rd Loves Park IL 61111-4280
Phone: (815) 977-3747
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227.019355 Illinois

Profile Details

NPI number 1851875439
LBN Legal business name Statler, Phillip G
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2018
Last updated Sep 20th, 2018 - about 7 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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