Dettlo, Luke James

Dettlo, Luke James is an sole proprietor health care provider with primary practice located at 5N600 Il Route 25 , Saint Charles IL 60174-5613. 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. Dettlo, Luke James can be contacted via phone (630) 846-8271.

Contact Information

Primary practice address
5N600 Il Route 25 Saint Charles IL 60174-5613
Phone: (630) 846-8271
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1962899443
LBN Legal business name Dettlo, Luke James
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 22nd, 2015
Last updated Apr 22nd, 2015 - about 11 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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