Wessel, Eric L
Wessel, Eric L is an individual health care provider with primary practice located at 2136 Vadalabene Dr , Maryville IL 62062-5632. 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. Wessel, Eric L can be contacted via phone (618) 288-4677.Contact Information
Primary practice address
2136 Vadalabene Dr
Maryville IL 62062-5632
Phone: (618) 288-4677
Fax: (618) 288-4699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070012251 | Illinois |
Profile Details
| NPI number | 1639175086 |
|---|---|
| LBN Legal business name | Wessel, Eric L |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2005 |
| Last updated | Sep 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639175086 | NPPES |
| Illinois | Other | P00099811 | MEDICARE RAILROAD |
| Illinois | Other | 539018 | MEDICARE RAILROAD |
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