Lockenour, John D
Lockenour, John D is an sole proprietor health care provider with primary practice located at 5889 S Williamson Blvd Suite 203, Port Orange FL 32128-7134. He recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as his primary health care specialty. Lockenour, John D can be contacted via phone (386) 689-4351.Contact Information
Primary practice address
5889 S Williamson Blvd Suite 203
Port Orange FL 32128-7134
Phone: (386) 689-4351
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Orthopedic | 111NX0800X | 08000588A | Indiana |
| Chiropractic Providers / Orthopedic | 111NX0800X | 9104 | Florida |
Profile Details
| NPI number | 1902889256 |
|---|---|
| LBN Legal business name | Lockenour, John D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jan 26th, 2009 - about 15 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 | 1902889256 | NPPES |
| Indiana | MEDICAID | 100165920 |
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