Petty, W Michael
Petty, W Michael is an sole proprietor health care provider with primary practice located at 14330 S Heatherwood Dr , Homer Glen IL 60491-9144. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Petty, W Michael can be contacted via phone (708) 301-7567.Contact Information
Primary practice address
14330 S Heatherwood Dr
Homer Glen IL 60491-9144
Phone: (708) 301-7567
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | Illinois |
Profile Details
| NPI number | 1518098490 |
|---|---|
| LBN Legal business name | Petty, W Michael |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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