Marshall, Mikel

Marshall, Mikel is an individual health care provider with primary practice located at 111 W Jackson Blvd Ste 1160 , Chicago IL 60604-3896. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Rehabilitation. Chiropractic Providers / Chiropractor is his primary health care specialty. Marshall, Mikel can be contacted via phone (312) 583-0061.

Contact Information

Primary practice address
111 W Jackson Blvd Ste 1160 Chicago IL 60604-3896
Phone: (312) 583-0061
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC-05001 Ohio
Chiropractic Providers / Rehabilitation 111NR0400X 038.013610 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038.013610 Illinois

Profile Details

NPI number 1407454424
LBN Legal business name Marshall, Mikel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2020
Last updated Jul 2nd, 2023 - about last year

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 1407454424 NPPES
Illinois Other 1962125864 TYPE 2 NPI

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