O'Brien, Erin

O'Brien, Erin is an individual health care provider with primary practice located at 1200 S Mchenry Ave , Crystal Lake IL 60014-7495. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. O'Brien, Erin can be contacted via phone (815) 455-3860.

Contact Information

Primary practice address
1200 S Mchenry Ave Crystal Lake IL 60014-7495
Phone: (815) 455-3860
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1497220123
LBN Legal business name O'Brien, Erin
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2018
Last updated Oct 9th, 2018 - about 8 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 1497220123 NPPES
Illinois Other 096004198 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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