Wyman, Andrew
Wyman, Andrew is an sole proprietor health care provider with primary practice located at 1209 W Ogden Ave , La Grange Park IL 60526-1700. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Wyman, Andrew can be contacted via phone (708) 387-8584.Contact Information
Primary practice address
1209 W Ogden Ave
La Grange Park IL 60526-1700
Phone: (708) 387-8584
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.003363 | Illinois |
Profile Details
| NPI number | 1033564703 |
|---|---|
| LBN Legal business name | Wyman, Andrew |
| Credentials | MS, ATC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2016 |
| Last updated | Apr 29th, 2016 - about 9 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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