Wall, Michelle Kathryn
Wall, Michelle Kathryn is an sole proprietor health care provider with primary practice located at 1360 W Riverview Ave , Decatur IL 62522-2722. 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. Wall, Michelle Kathryn can be contacted via phone (217) 853-5348.Contact Information
Primary practice address
1360 W Riverview Ave
Decatur IL 62522-2722
Phone: (217) 853-5348
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist | 222Q00000X |
Profile Details
| NPI number | 1710635784 |
|---|---|
| LBN Legal business name | Wall, Michelle Kathryn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2022 |
| Last updated | Mar 17th, 2022 - about 2 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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