Cevene, Todd Richard

Cevene, Todd Richard is an sole proprietor health care provider with primary practice located at 6451 E Riverside Blvd # 103, Rockford IL 61114-4421. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cevene, Todd Richard can be contacted via phone (815) 639-9900.

Contact Information

Primary practice address
6451 E Riverside Blvd # 103 Rockford IL 61114-4421
Fax: (815) 639-9860
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-008698 Illinois

Profile Details

NPI number 1477555928
LBN Legal business name Cevene, Todd Richard
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Oct 25th, 2007 - about 17 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 1477555928 NPPES
Illinois Other 210693 MEDICARE GROUP

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