Coy, Richard C
Coy, Richard C is an sole proprietor health care provider with primary practice located at 3407 S State Route 157 Ste 1, Glen Carbon IL 62034-1041. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Coy, Richard C can be contacted via phone (618) 288-3610.Contact Information
Primary practice address
3407 S State Route 157 Ste 1
Glen Carbon IL 62034-1041
Phone: (618) 288-3610
Fax: (618) 288-9879
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 005331 | Missouri |
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1053315663 |
|---|---|
| LBN Legal business name | Coy, Richard C |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Dec 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053315663 | NPPES |
| Illinois | Other | 215809 | MEDICARE |
| Illinois | Other | 44-01024 | MEDICARE |
| Illinois | Other | 7422 | MEDICARE |
| Illinois | Other | 47722 | MEDICARE |
| Illinois | Other | 180267 | MEDICARE |
| Illinois | Other | 47722 | MEDICARE |
| Illinois | Other | 6082091 | MEDICARE |
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