Destephano, Ralph
Destephano, Ralph is an individual health care provider with primary practice located at 2100 N Us Hwy 12 Suite 101, Spring Grove IL 60081. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Destephano, Ralph can be contacted via phone (815) 675-0675.Contact Information
Primary practice address
2100 N Us Hwy 12 Suite 101
Spring Grove IL 60081
Phone: (815) 675-0675
Fax: (815) 675-9836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038007206 | Illinois |
Profile Details
| NPI number | 1053429670 |
|---|---|
| LBN Legal business name | Destephano, Ralph |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Oct 7th, 2011 - about 13 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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