King Spinal & Sports Rehabilitation, Ltd.

LBN: King Spinal & Sports Rehabilitation, Ltd.
King Spinal & Sports Rehabilitation, Ltd. is an health care organization with primary practice located at 1525 Johnson Rd , Granite City IL 62040-3831. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Chiropractic Providers / Chiropractor is the primary health care specialty. King Spinal & Sports Rehabilitation, Ltd. can be contacted via phone (618) 452-1986, or through King, Charles E via phone (618) 452-1986.

Contact Information

Primary practice address
1525 Johnson Rd Granite City IL 62040-3831
Phone: (618) 452-1986
Fax: (618) 452-6814
Website:
Map and Directions
Authorized official contact:
Name: King, Charles E Doctor of Chiropractic (DC)
Phone: (618) 452-1986

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1427157593
LBN Legal business name King Spinal & Sports Rehabilitation, Ltd.
DBA Doing business as
Authorized official King, Charles E Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2006
Last updated Aug 22nd, 2020 - about 4 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 1427157593 NPPES
Other 06032044 BC/BS OF ILLINOIS

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