Streeter, Eric Michael

Streeter, Eric Michael is an individual health care provider with primary practice located at 2040 S Neil St , Champaign IL 61820-7220. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Streeter, Eric Michael can be contacted via phone (217) 352-3330.

Contact Information

Primary practice address
2040 S Neil St Champaign IL 61820-7220
Phone: (217) 352-3330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096-001764 Illinois

Profile Details

NPI number 1083609648
LBN Legal business name Streeter, Eric Michael
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Apr 16th, 2015 - about 9 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 1083609648 NPPES
Illinois Other 096-001764 LICENSED ATHLETIC TRAINER

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