Rosenburg, Dustin Clark
Rosenburg, Dustin Clark is an individual health care provider with primary practice located at 4917 Maryville Rd , Granite City IL 62040-2644. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Rosenburg, Dustin Clark can be contacted via phone (618) 931-3100.Contact Information
Primary practice address
4917 Maryville Rd
Granite City IL 62040-2644
Phone: (618) 931-3100
Fax: (618) 931-3123
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038.011595 | Illinois |
Profile Details
NPI number | 1407187875 |
---|---|
LBN Legal business name | Rosenburg, Dustin Clark |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2010 |
Last updated | Jan 24th, 2010 - about 14 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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