Mccoy, Richard Everett

Mccoy, Richard Everett is an sole proprietor health care provider with primary practice located at 181 N Virginia St Suite 1, Crystal Lake IL 60014-3433. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mccoy, Richard Everett can be contacted via phone (815) 455-6373.

Contact Information

Primary practice address
181 N Virginia St Suite 1 Crystal Lake IL 60014-3433
Fax: (815) 455-6375
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-004127 Illinois

Profile Details

NPI number 1376536060
LBN Legal business name Mccoy, Richard Everett
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2005
Last updated Sep 11th, 2017 - about 7 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 1376536060 NPPES
Illinois Other 05682020-52 BLUE CROSS BLUE SHIELD

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