Moehn, Brendan
Moehn, Brendan is an individual health care provider with primary practice located at 1308 Game Farm Rd , Yorkville IL 60560-2110. 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. Moehn, Brendan can be contacted via phone (630) 553-5811.Contact Information
Primary practice address
1308 Game Farm Rd
Yorkville IL 60560-2110
Phone: (630) 553-5811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070023677 | Illinois |
Profile Details
| NPI number | 1801377999 |
|---|---|
| LBN Legal business name | Moehn, Brendan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2018 |
| Last updated | Aug 27th, 2018 - about 7 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 | 1801377999 | NPPES |
| Illinois | Other | 070023677 | PHYSICAL THERAPIST LICENSE |
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