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
Fax: (708) 349-8707
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316010044 NPPES
Illinois Other 01632992 BLUE CROSS PROVIDER NBR

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