Slobodnik, Michael T

Slobodnik, Michael T is an individual health care provider with primary practice located at 810 W Anthony Dr , Urbana IL 61802-7431. 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. Slobodnik, Michael T can be contacted via phone (217) 383-3400.

Contact Information

Primary practice address
810 W Anthony Dr Urbana IL 61802-7431
Phone: (217) 383-3400
Fax: (217) 383-3437
Website:
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Health care specialties

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

Profile Details

NPI number 1073639597
LBN Legal business name Slobodnik, Michael T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1073639597 NPPES
Other 113326 HEALTHLINK PROV ID
Other 203 HEALTHLINK PROV ID
Other 7216 HEALTHLINK PROV ID
Other 4117 HEALTHLINK PROV ID

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