Durocher, Ryan Thomas

Durocher, Ryan Thomas is an sole proprietor health care provider with primary practice located at 3608 Carnoustie Dr , Springfield IL 62712-5555. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Durocher, Ryan Thomas can be contacted via phone (217) 622-6161.

Contact Information

Primary practice address
3608 Carnoustie Dr Springfield IL 62712-5555
Phone: (217) 622-6161
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-009110 Illinois

Profile Details

NPI number 1871593350
LBN Legal business name Durocher, Ryan Thomas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2005
Last updated Nov 16th, 2022 - about 2 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 1871593350 NPPES
Illinois Other 08432102 BCBS
Illinois Other P00331729 BCBS
Illinois Other 666373 BCBS

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