Conkling Chiropractic Clinic

LBN: Conkling Chiropractic Clinic
Conkling Chiropractic Clinic is an health care organization with primary practice located at 1407 Camp Jackson Rd , Cahokia IL 62206-2501. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Conkling Chiropractic Clinic can be contacted via phone (618) 332-1212, or through Conkling Iii, Roy B via phone (618) 332-1212.

Contact Information

Primary practice address
1407 Camp Jackson Rd Cahokia IL 62206-2501
Fax: (618) 332-1214
Website:
Authorized official contact:
Name: Conkling Iii, Roy B Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X Illinois

Profile Details

NPI number 1346465572
LBN Legal business name Conkling Chiropractic Clinic
DBA Doing business as
Authorized official Conkling Iii, Roy B Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 14th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346465572 NPPES
Illinois Other 8215155 LICENSE NUMBER

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