Midwest Spine & Sport Chiropractic

LBN: Midwest Spine & Sport Chiropractic
Midwest Spine & Sport Chiropractic is an health care organization with primary practice located at 1210 Paragon Dr Suite 1B, O Fallon IL 62269-1773. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Midwest Spine & Sport Chiropractic can be contacted via phone (618) 973-5522, or through Dieckmann, Kristi Kay via phone (618) 973-5522.

Contact Information

Primary practice address
1210 Paragon Dr Suite 1B O Fallon IL 62269-1773
Phone: (618) 973-5522
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dieckmann, Kristi Kay D.C., M.S.
Phone: (618) 973-5522

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 038.011634 Illinois

Profile Details

NPI number 1336460385
LBN Legal business name Midwest Spine & Sport Chiropractic
DBA Doing business as
Authorized official Dieckmann, Kristi Kay D.C., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2010
Last updated Jun 14th, 2010 - about 14 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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