Roach, Todd Kent
Roach, Todd Kent is an sole proprietor health care provider with primary practice located at 756 Mallard Dr , New Lenox IL 60451-1968. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roach, Todd Kent can be contacted via phone (815) 600-1199.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-010254 | Illinois |
Profile Details
| NPI number | 1043323132 |
|---|---|
| LBN Legal business name | Roach, Todd Kent |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 27th, 2022 - about 2 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 | 1043323132 | NPPES |
| Illinois | Other | 3232026 | BLUE CROSS BLUE SHIELD |
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