Roland, Thomas W
Roland, Thomas W is an sole proprietor health care provider with primary practice located at 10600 W 143Rd St , Orland Park IL 60462-1985. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Roland, Thomas W can be contacted via phone (708) 349-7887.Contact Information
Primary practice address
10600 W 143Rd St
Orland Park IL 60462-1985
Phone: (708) 349-7887
Fax: (708) 349-8707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1316010044 |
|---|---|
| LBN Legal business name | Roland, Thomas W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316010044 | NPPES |
| Illinois | Other | 01632992 | BLUE CROSS PROVIDER NBR |
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