Velasco, Ilde Boy Tan

Velasco, Ilde Boy Tan is an sole proprietor health care provider with primary practice located at 3500 Century Dr , Granite City IL 62040-2166. 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. Velasco, Ilde Boy Tan can be contacted via phone (618) 877-2700.

Contact Information

Primary practice address
3500 Century Dr Granite City IL 62040-2166
Phone: (618) 877-2700
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1316674112
LBN Legal business name Velasco, Ilde Boy Tan
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 2nd, 2022
Last updated Aug 2nd, 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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