Puri, Vijay Rock

Puri, Vijay Rock is an individual health care provider with primary practice located at 3913 15Th Street D , Moline IL 61265. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Puri, Vijay Rock can be contacted via phone (309) 797-4062.

Contact Information

Primary practice address
3913 15Th Street D Moline IL 61265
Fax: (309) 797-3795
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1831154434
LBN Legal business name Puri, Vijay Rock
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 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 1831154434 NPPES
Illinois Other 5652720 FIRST HEALTH
Illinois Other 8132087 FIRST HEALTH

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