Fadale, Sean

Fadale, Sean is an individual health care provider with primary practice located at 810 W Anthony Dr , Urbana IL 61802-7431. 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. Fadale, Sean can be contacted via phone (217) 326-1911.

Contact Information

Primary practice address
810 W Anthony Dr Urbana IL 61802-7431
Phone: (217) 326-1911
Fax: (217) 344-8047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 70014050 Illinois

Profile Details

NPI number 1649464736
LBN Legal business name Fadale, Sean
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2007
Last updated Aug 31st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649464736 NPPES
Illinois Other 7216 PERSONALCARE PROVIDER #
Illinois Other 203 PERSONALCARE PROVIDER #
Illinois Other 113326 PERSONALCARE PROVIDER #
Illinois Other 4117 PERSONALCARE PROVIDER #

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