Varner, Angi Renee
Varner, Angi Renee is an individual health care provider with primary practice located at 4343 Kennedy Dr , East Moline IL 61244-4203. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Varner, Angi Renee can be contacted via phone (309) 796-6600.Contact Information
Primary practice address
4343 Kennedy Dr
East Moline IL 61244-4203
Phone: (309) 796-6600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 00773 | Iowa |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 160.003734 | Illinois |
Profile Details
NPI number | 1841567005 |
---|---|
LBN Legal business name | Varner, Angi Renee |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2011 |
Last updated | Sep 28th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1841567005 | NPPES |
Illinois | Other | 160.003734 | PTA LICENSE |
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