Sakalosky, Mary Rose

Sakalosky, Mary Rose is an individual health care provider with primary practice located at 444 N Henderson St , Galesburg IL 61401-3508. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Sakalosky, Mary Rose can be contacted via phone (309) 344-4030.

Contact Information

Primary practice address
444 N Henderson St Galesburg IL 61401-3508
Fax: (309) 344-4032
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1649238833
LBN Legal business name Sakalosky, Mary Rose
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jul 9th, 2007 - about 18 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 1649238833 NPPES
Illinois Other 04830278 BLUE CROSS PIN

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