Fletcher, Kimberly Conn
Fletcher, Kimberly Conn is an sole proprietor health care provider with primary practice located at 840 S Waukegan Rd Suite 201, Lake Forest IL 60045-2608. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fletcher, Kimberly Conn can be contacted via phone (224) 544-5033.Contact Information
Primary practice address
840 S Waukegan Rd Suite 201
Lake Forest IL 60045-2608
Phone: (224) 544-5033
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4720012 | Wisconsin |
Profile Details
| NPI number | 1457658304 |
|---|---|
| LBN Legal business name | Fletcher, Kimberly Conn |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 11th, 2011 |
| Last updated | Apr 18th, 2016 - about 8 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 | 1457658304 | NPPES |
| Illinois | Other | 038011833 | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION |
| Illinois | Other | 4720012 | ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION |
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