Mcconnaughy, John Edward
Mcconnaughy, John Edward is an sole proprietor health care provider with primary practice located at 1027 S. Division St , Carterville IL 62918-0394. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Mcconnaughy, John Edward can be contacted via phone (618) 985-4344.Contact Information
Primary practice address
1027 S. Division St
Carterville IL 62918-0394
Phone: (618) 985-4344
Fax: (618) 985-6469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 038-004817 | Illinois |
Profile Details
| NPI number | 1811962285 |
|---|---|
| LBN Legal business name | Mcconnaughy, John Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Mar 9th, 2015 - about 9 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 | 1811962285 | NPPES |
| Illinois | MEDICAID | 038004817 |
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