Ullom, Judith
Ullom, Judith is an individual health care provider with primary practice located at 1304 W Bradley Ave , Champaign IL 61821-2035. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Ullom, Judith can be contacted via phone (217) 356-9176.Contact Information
Primary practice address
1304 W Bradley Ave
Champaign IL 61821-2035
Phone: (217) 356-9176
Fax: (217) 356-9851
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1346469228 |
|---|---|
| LBN Legal business name | Ullom, Judith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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