Destephano, Nikolas
Destephano, Nikolas is an individual health care provider with primary practice located at 2100 N Us Highway 12 Ste 101 , Spring Grove IL 60081-8308. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Destephano, Nikolas can be contacted via phone (815) 675-0675.Contact Information
Primary practice address
2100 N Us Highway 12 Ste 101
Spring Grove IL 60081-8308
Phone: (815) 675-0675
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038.014140 | Illinois |
Profile Details
| NPI number | 1588416762 |
|---|---|
| LBN Legal business name | Destephano, Nikolas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2024 |
| Last updated | Apr 2nd, 2024 - about 5 months 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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