Whelchel, Justin Tyler

Whelchel, Justin Tyler is an individual health care provider with primary practice located at 4411 S Adams St , Marion IN 46953-5349. 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. Whelchel, Justin Tyler can be contacted via phone (765) 674-4455.

Contact Information

Primary practice address
4411 S Adams St Marion IN 46953-5349
Phone: (765) 674-4455
Fax: (765) 674-3577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05013194A Indiana

Profile Details

NPI number 1417424920
LBN Legal business name Whelchel, Justin Tyler
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2018
Last updated Nov 1st, 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 1417424920 NPPES
Indiana Other 129137500 US DEPT OF LABOR
Indiana MEDICAID 100124000 US DEPT OF LABOR

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