Haidsiak, Michael B

Haidsiak, Michael B is an individual health care provider with primary practice located at 465 42Nd Ave Ste 140 , East Moline IL 61244-4004. 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. Haidsiak, Michael B can be contacted via phone (309) 779-3490.

Contact Information

Primary practice address
465 42Nd Ave Ste 140 East Moline IL 61244-4004
Phone: (309) 779-3490
Fax: (309) 779-5615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070009596 Illinois

Profile Details

NPI number 1316273519
LBN Legal business name Haidsiak, Michael B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 22nd, 2009
Last updated Oct 22nd, 2009 - about 16 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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