Herrin, Matthew J

Herrin, Matthew J is an individual health care provider with primary practice located at 2900 Frank Scott Pkwy W Ste 908, Belleville IL 62223-5000. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Herrin, Matthew J can be contacted via phone (618) 236-3600.

Contact Information

Primary practice address
2900 Frank Scott Pkwy W Ste 908 Belleville IL 62223-5000
Phone: (618) 236-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1366562803
LBN Legal business name Herrin, Matthew J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366562803 NPPES
Illinois Other 08232178 BLUE CROSS BLUE SHIELD
Illinois Other 733439 BLUE CROSS BLUE SHIELD

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