Ruby, Shannon
Ruby, Shannon is an individual health care provider with primary practice located at 1976 Tower Dr , Glenview IL 60026-7801. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Ruby, Shannon can be contacted via phone (847) 730-3276.Contact Information
Primary practice address
1976 Tower Dr
Glenview IL 60026-7801
Phone: (847) 730-3276
Fax: (847) 730-3972
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 038009967 | Illinois |
Profile Details
NPI number | 1356350672 |
---|---|
LBN Legal business name | Ruby, Shannon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Jan 10th, 2013 - about 12 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 | 1356350672 | NPPES |
Illinois | Other | 038009967 | SATE LICENSE |
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