Accident & Sports Clinic Sc

LBN: Accident & Sports Clinic Sc
Accident & Sports Clinic Sc is an health care organization with primary practice located at 3901 General Electric Rd #2, Bloomington IL 61704-8746. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Accident & Sports Clinic Sc can be contacted via phone (309) 664-6040, or through Fitton, Karrie via phone (309) 664-6040.

Contact Information

Primary practice address
3901 General Electric Rd #2 Bloomington IL 61704-8746
Phone: (309) 664-6040
Fax: (309) 664-6121
Website:
Map and Directions
Authorized official contact:
Name: Fitton, Karrie Doctor of Chiropractic (DC)
Phone: (309) 664-6040

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1033128483
LBN Legal business name Accident & Sports Clinic Sc
DBA Doing business as
Authorized official Fitton, Karrie Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2006
Last updated Jun 9th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033128483 NPPES
Illinois MEDICAID 038005760
Illinois Other 350036554
Illinois Other 005782025

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