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:
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Health care specialties

SpecialtyCodeLicense #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 18 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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