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
Fax: (309) 793-3596
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306806120 NPPES
Illinois Other 8122098 BLUE CROSS BLUE SHIELD #

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