Wolter, Brad Scott
Wolter, Brad Scott is an sole proprietor health care provider with primary practice located at 173 N Harvey Ave , Oak Park IL 60302-2622. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Wolter, Brad Scott can be contacted via phone (773) 213-8418.Contact Information
Primary practice address
173 N Harvey Ave
Oak Park IL 60302-2622
Phone: (773) 213-8418
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 070007821 | Illinois |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070.007821 | Illinois |
Profile Details
| NPI number | 1245453737 |
|---|---|
| LBN Legal business name | Wolter, Brad Scott |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Aug 28th, 2020 - about 5 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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