Martin Chiropractic Clinic Ltd

LBN: Martin Chiropractic Clinic Ltd
Martin Chiropractic Clinic Ltd is an health care organization with primary practice located at 1601 E Main St Suite B, St Charles IL 60174-2387. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Martin Chiropractic Clinic Ltd can be contacted via phone (630) 377-4955, or through Martin, Jack R via phone (630) 377-4955.

Contact Information

Primary practice address
1601 E Main St Suite B St Charles IL 60174-2387
Phone: (630) 377-4955
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Martin, Jack R Doctor of Chiropractic (DC)
Phone: (630) 377-4955

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1851580153
LBN Legal business name Martin Chiropractic Clinic Ltd
DBA Doing business as
Authorized official Martin, Jack R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 23rd, 2007
Last updated Jan 11th, 2013 - about 12 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 1851580153 NPPES
Illinois MEDICAID 038004270
Illinois Other 4532187

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