Granite City Chiropractic Llc

LBN: Granite City Chiropractic Llc
Granite City Chiropractic Llc is an health care organization with primary practice located at 3136 Nameoki Rd , Granite City IL 62040-5013. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Granite City Chiropractic Llc can be contacted via phone (618) 452-2300, or through Miller, Daniel Jason via phone (618) 452-2300.

Contact Information

Primary practice address
3136 Nameoki Rd Granite City IL 62040-5013
Fax: (618) 452-0373
Website:
Authorized official contact:
Name: Miller, Daniel Jason Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1528072451
LBN Legal business name Granite City Chiropractic Llc
DBA Doing business as
Authorized official Miller, Daniel Jason Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528072451 NPPES
Illinois Other 06026803 BLUE CROSS & BLUE SHIELD

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