Boyd, Michelle Mcpolin

Boyd, Michelle Mcpolin is an individual health care provider with primary practice located at 355 N La Grange Rd , La Grange Park IL 60526-5622. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Boyd, Michelle Mcpolin can be contacted via phone (708) 588-8270.

Contact Information

Primary practice address
355 N La Grange Rd La Grange Park IL 60526-5622
Fax: (708) 588-8271
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 38009671 Illinois

Profile Details

NPI number 1790806461
LBN Legal business name Boyd, Michelle Mcpolin
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jun 9th, 2008 - about 16 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 1790806461 NPPES
Illinois Other 01632424 BLUE CROSS BLUE SHIELD

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