Randles, Blake William
Randles, Blake William is an sole proprietor health care provider with primary practice located at 1210 Washington St , Highland IL 62249-1925. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Randles, Blake William can be contacted via phone (618) 654-4520.Contact Information
Primary practice address
1210 Washington St
Highland IL 62249-1925
Phone: (618) 654-4520
Fax: (618) 654-1063
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038.011709 | Illinois |
Profile Details
| NPI number | 1679886675 |
|---|---|
| LBN Legal business name | Randles, Blake William |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2010 |
| Last updated | Jun 22nd, 2024 - about 3 months 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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