Schwartz, Sandra Sue
Schwartz, Sandra Sue is an sole proprietor health care provider with primary practice located at 1401B South State Street , Champaign IL 61820-6877. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Schwartz, Sandra Sue can be contacted via phone (217) 351-2021.Contact Information
Primary practice address
1401B South State Street
Champaign IL 61820-6877
Phone: (217) 351-2021
Fax: (217) 351-1740
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038004290 | Illinois |
Profile Details
| NPI number | 1295915221 |
|---|---|
| LBN Legal business name | Schwartz, Sandra Sue |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2007 |
| Last updated | Sep 4th, 2012 - 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 | 1295915221 | NPPES |
| Illinois | Other | 1015000 | BLUE CROSS BLUE SHIELD |
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