Bly Chiropractic Clinic, P.C.

LBN: Bly Chiropractic Clinic, P.C.
Bly Chiropractic Clinic, P.C. is an health care organization with primary practice located at 2501 E College Ave Ste C, Bloomington IL 61704-2484. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bly Chiropractic Clinic, P.C. can be contacted via phone (309) 661-1155, or through Bly, Timothy J via phone (309) 661-1155.

Contact Information

Primary practice address
2501 E College Ave Ste C Bloomington IL 61704-2484
Phone: (309) 661-1155
Fax: (309) 661-1043
Website:
Map and Directions
Authorized official contact:
Name: Bly, Timothy J Doctor of Chiropractic (DC)
Phone: (309) 661-1155

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1245423748
LBN Legal business name Bly Chiropractic Clinic, P.C.
DBA Doing business as
Authorized official Bly, Timothy J Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2007
Last updated Aug 20th, 2007 - about 17 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 1245423748 NPPES
Illinois Other 05715393 BLUE CROSS BLUE SHIELD

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