Chin, Sam K

Chin, Sam K is an individual health care provider with primary practice located at 611 Auburn St. , Rockford IL 61103-4710. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Chin, Sam K can be contacted via phone (815) 962-6363.

Contact Information

Primary practice address
611 Auburn St. Rockford IL 61103-4710
Phone: (815) 962-6363
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038004241 Illinois

Profile Details

NPI number 1013079540
LBN Legal business name Chin, Sam K
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Mar 13th, 2018 - about 6 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 1013079540 NPPES
Illinois MEDICAID 01682287

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