Healthy Life Chiropractic Pc

LBN: Healthy Life Chiropractic Pc
Healthy Life Chiropractic Pc is an health care organization with primary practice located at 2525 24Th St Ste 204, Rock Island IL 61201. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Healthy Life Chiropractic Pc can be contacted via phone (309) 786-3536, or through Schmall, Mark David via phone (309) 786-3536.

Contact Information

Primary practice address
2525 24Th St Ste 204 Rock Island IL 61201
Fax: (309) 794-2156
Website:
Authorized official contact:
Name: Schmall, Mark David Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1841394962
LBN Legal business name Healthy Life Chiropractic Pc
DBA Doing business as
Authorized official Schmall, Mark David Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 11th, 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 1841394962 NPPES
Illinois Other 8107273 BCBS
Illinois MEDICAID 0432609 BCBS

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