Athey, Brock Wayne
Athey, Brock Wayne is an individual health care provider with primary practice located at 1303 W Evergreen Ave Biomax Ste 102, Effingham IL 62401. 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. Athey, Brock Wayne can be contacted via phone (217) 343-3400.Contact Information
Primary practice address
1303 W Evergreen Ave Biomax Ste 102
Effingham IL 62401
Phone: (217) 343-3400
Fax: (217) 342-9714
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070018141 | Illinois |
Profile Details
| NPI number | 1609152735 |
|---|---|
| LBN Legal business name | Athey, Brock Wayne |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2011 |
| Last updated | Nov 3rd, 2011 - about 14 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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