Mitchom Lockett, Mukaia Mariama
Mitchom Lockett, Mukaia Mariama is an sole proprietor health care provider with primary practice located at 2 Eagle Ctr Suite 2, O Fallon IL 62269-1847. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Mitchom Lockett, Mukaia Mariama can be contacted via phone (618) 567-8373.Contact Information
Primary practice address
2 Eagle Ctr Suite 2
O Fallon IL 62269-1847
Phone: (618) 567-8373
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038008812 | Illinois |
Profile Details
| NPI number | 1588712624 |
|---|---|
| LBN Legal business name | Mitchom Lockett, Mukaia Mariama |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Feb 15th, 2016 - about 8 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 | 1588712624 | NPPES |
| Missouri | Other | 155534 | BLUE CROSS BLUE SHIELD MO |
| Missouri | Other | 08232010 | BLUE CROSS BLUE SHIELD MO |
| Missouri | Other | 628218 | BLUE CROSS BLUE SHIELD MO |
| Missouri | Other | 478869 | BLUE CROSS BLUE SHIELD MO |
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