Condon, Michael Joseph

Condon, Michael Joseph is an sole proprietor health care provider with primary practice located at 806 W Dakota St , Spring Valley IL 61362-1602. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Condon, Michael Joseph can be contacted via phone (815) 664-4858.

Contact Information

Primary practice address
806 W Dakota St Spring Valley IL 61362-1602
Phone: (815) 664-4858
Fax: (815) 664-2135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1699774190
LBN Legal business name Condon, Michael Joseph
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 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 1699774190 NPPES
Illinois Other 00621412 BLUE CROSS BLUE SHIELD

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