Kujawa, Michelle
Kujawa, Michelle is an individual health care provider with primary practice located at 211 E Hanover St , New Baden IL 62265-1811. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Kujawa, Michelle can be contacted via phone (618) 588-4000.Contact Information
Primary practice address
211 E Hanover St
New Baden IL 62265-1811
Phone: (618) 588-4000
Fax: (618) 588-4800
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-03291 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.015449 | Illinois |
Profile Details
| NPI number | 1932103348 |
|---|---|
| LBN Legal business name | Kujawa, Michelle |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Nov 6th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932103348 | NPPES |
| Illinois | Other | P00751927 | MEDICARE RAILROAD GRP PTAN |
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