Gulsrud-Neiber, Lori L

Gulsrud-Neiber, Lori L is an individual health care provider with primary practice located at 1686 Henry Luckow Ln , Belvidere IL 61008-1705. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Gulsrud-Neiber, Lori L can be contacted via phone (815) 547-4777.

Contact Information

Primary practice address
1686 Henry Luckow Ln Belvidere IL 61008-1705
Phone: (815) 547-4777
Fax: (815) 547-1024
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-008204 Illinois

Profile Details

NPI number 1902901879
LBN Legal business name Gulsrud-Neiber, Lori L
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jun 6th, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902901879 NPPES
Illinois Other K20025IL MEDICARE PTAN

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