Waller, Eric Douglas
Waller, Eric Douglas is an sole proprietor health care provider with primary practice located at 1620 S Mission St Ste O , Mount Pleasant MI 48858-4466. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Waller, Eric Douglas can be contacted via phone (989) 282-0320.Contact Information
Primary practice address
1620 S Mission St Ste O
Mount Pleasant MI 48858-4466
Phone: (989) 282-0320
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 5502000667 | Michigan |
Profile Details
| NPI number | 1134841042 |
|---|---|
| LBN Legal business name | Waller, Eric Douglas |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2022 |
| Last updated | Sep 16th, 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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