Lundgren, Eric
Lundgren, Eric is an individual health care provider with primary practice located at 2965 13Th Ave , Rock Island IL 61201-2814. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lundgren, Eric can be contacted via phone (309) 793-4858.Contact Information
Primary practice address
2965 13Th Ave
Rock Island IL 61201-2814
Phone: (309) 793-4858
Fax: (309) 793-3596
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
NPI number | 1306806120 |
---|---|
LBN Legal business name | Lundgren, Eric |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1306806120 | NPPES |
Illinois | Other | 8122098 | BLUE CROSS BLUE SHIELD # |
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