Pepperell, Kurt Michael
Pepperell, Kurt Michael is an sole proprietor health care provider with primary practice located at 3530 W. Willow Knolls Dr , Peoria IL 61614. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pepperell, Kurt Michael can be contacted via phone (309) 839-8358.Contact Information
Primary practice address
3530 W. Willow Knolls Dr
Peoria IL 61614
Phone: (309) 839-8358
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-010347 | Illinois |
Profile Details
| NPI number | 1639151558 |
|---|---|
| LBN Legal business name | Pepperell, Kurt Michael |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Aug 19th, 2014 - about 11 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 | 1639151558 | NPPES |
| Illinois | MEDICAID | 038-010347 |
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