Waller, Thomas
Waller, Thomas is an individual health care provider with primary practice located at 430 E 162Nd St Suite 522, South Holland IL 60473-2258. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Waller, Thomas can be contacted via phone (773) 895-3921.Contact Information
Primary practice address
430 E 162Nd St Suite 522
South Holland IL 60473-2258
Phone: (773) 895-3921
Fax: (708) 575-0432
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Driver | 172A00000X | W46082583086 | Illinois |
Profile Details
| NPI number | 1518113067 |
|---|---|
| LBN Legal business name | Waller, Thomas |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2008 |
| Last updated | Aug 15th, 2008 - about 16 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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