Jasker, Bryan D

Jasker, Bryan D is an individual health care provider with primary practice located at 1111 Trinity Ln Suite 111, Bloomington IL 61704-8111. 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. Jasker, Bryan D can be contacted via phone (309) 663-6461.

Contact Information

Primary practice address
1111 Trinity Ln Suite 111 Bloomington IL 61704-8111
Phone: (309) 663-6461
Fax: (309) 661-8107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070-014356 Illinois

Profile Details

NPI number 1447208806
LBN Legal business name Jasker, Bryan D
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Sep 5th, 2019 - about 6 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 1447208806 NPPES
Illinois Other 070-014356 IL LICENSE NO

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