Fireside, David
Fireside, David is an sole proprietor health care provider with primary practice located at 108 Wilmot Rd , Deerfield IL 60015-5145. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fireside, David can be contacted via phone (847) 580-0002.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 227.009223 | Illinois |
Profile Details
| NPI number | 1134526171 |
|---|---|
| LBN Legal business name | Fireside, David |
| Credentials | LCMT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2014 |
| Last updated | Nov 19th, 2014 - about 12 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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