Meyer, Jason W

Meyer, Jason W is an individual health care provider with primary practice located at 1275 N Convent St Suite 3, Bourbonnais IL 60914-8210. 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. Meyer, Jason W can be contacted via phone (815) 936-1855.

Contact Information

Primary practice address
1275 N Convent St Suite 3 Bourbonnais IL 60914-8210
Phone: (815) 936-1855
Fax: (815) 936-6097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070015022 Illinois

Profile Details

NPI number 1811043920
LBN Legal business name Meyer, Jason W
Credentials PT, DPT, CSCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 27th, 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 1811043920 NPPES
Illinois Other P00898825 MEDICARE RAILROAD

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