Pinckney, Michael Rex

Pinckney, Michael Rex is an sole proprietor health care provider with primary practice located at 507 S La Grange Rd , La Grange IL 60525-6740. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Pinckney, Michael Rex can be contacted via phone (708) 354-9599.

Contact Information

Primary practice address
507 S La Grange Rd La Grange IL 60525-6740
Phone: (708) 354-9599
Fax: (708) 354-9799
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X Illinois

Profile Details

NPI number 1093810939
LBN Legal business name Pinckney, Michael Rex
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1093810939 NPPES
Illinois Other P00071845 RAILROAD MEDICARE
Illinois Other 4923193 RAILROAD MEDICARE
Illinois Other 606504 RAILROAD MEDICARE
Illinois Other 4400474 RAILROAD MEDICARE

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