Anderson, J. Douglas
Anderson, J. Douglas is an individual health care provider with primary practice located at 1491 Valle Vista Blvd , Pekin IL 61554-6241. 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. Anderson, J. Douglas can be contacted via phone (309) 347-4277.Contact Information
Primary practice address
1491 Valle Vista Blvd
Pekin IL 61554-6241
Phone: (309) 347-4277
Fax: (309) 347-4388
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1750387767 |
|---|---|
| LBN Legal business name | Anderson, J. Douglas |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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