Heatwole, Michael J.
Heatwole, Michael J. is an individual health care provider with primary practice located at 7367 North Ave , River Forest IL 60305-1230. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Heatwole, Michael J. can be contacted via phone (978) 314-9349.Contact Information
Primary practice address
7367 North Ave
River Forest IL 60305-1230
Phone: (978) 314-9349
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1457334567 |
|---|---|
| LBN Legal business name | Heatwole, Michael J. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1457334567 | NPPES |
| Illinois | Other | 0002232795 | BLUECROSS BLUESHIELD IL |
| Illinois | Other | 0007859444 | BLUECROSS BLUESHIELD IL |
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