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
Phone: (815) 455-6373
Fax: (815) 455-6375
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376536060 | NPPES |
Illinois | Other | 05682020-52 | BLUE CROSS BLUE SHIELD |
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