Chicoine, Bradley A

Chicoine, Bradley A is an individual health care provider with primary practice located at 1501 Nebraska St , Sioux City IA 51105-1204. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chicoine, Bradley A can be contacted via phone (712) 252-0633.

Contact Information

Primary practice address
1501 Nebraska St Sioux City IA 51105-1204
Phone: (712) 252-0633
Fax: (712) 252-3904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 04520 Iowa

Profile Details

NPI number 1710960513
LBN Legal business name Chicoine, Bradley A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Jul 8th, 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 1710960513 NPPES
Iowa MEDICAID 0157800
Iowa Other 29618

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