Gergovich, Michael James

Gergovich, Michael James is an individual health care provider with primary practice located at 130 3Rd St , La Salle IL 61301-2312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gergovich, Michael James can be contacted via phone (815) 223-0647.

Contact Information

Primary practice address
130 3Rd St La Salle IL 61301-2312
Phone: (815) 223-0647
Fax: (815) 223-0987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038011831 Illinois

Profile Details

NPI number 1295032084
LBN Legal business name Gergovich, Michael James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2011
Last updated Oct 16th, 2018 - about 6 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 1295032084 NPPES
Illinois Other 1619267135 CHIROPRACTOR

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