Galvan, Michael Anthony

Galvan, Michael Anthony is an sole proprietor health care provider with primary practice located at 1225 W 31St St , Chicago IL 60608-5507. 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. Galvan, Michael Anthony can be contacted via phone (312) 437-0080.

Contact Information

Primary practice address
1225 W 31St St Chicago IL 60608-5507
Phone: (312) 437-0080
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096-001139 Illinois

Profile Details

NPI number 1437143252
LBN Legal business name Galvan, Michael Anthony
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2005
Last updated Mar 2nd, 2024 - about 2 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 1437143252 NPPES
Illinois Other 096-001139 LICENSE

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