Hyde, Richard S
Hyde, Richard S is an sole proprietor health care provider with primary practice located at 416 E Roosevelt Rd #108, Wheaton IL 60187-5589. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hyde, Richard S can be contacted via phone (630) 665-0788.Contact Information
Primary practice address
416 E Roosevelt Rd #108
Wheaton IL 60187-5589
Phone: (630) 665-0788
Fax: (630) 665-0836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009095 | Illinois |
Profile Details
| NPI number | 1588633580 |
|---|---|
| LBN Legal business name | Hyde, Richard S |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Oct 16th, 2013 - about 12 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 | 1588633580 | NPPES |
| Illinois | Other | 0002227038 | BLUE CROSS BLUE SHIELD |
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