Sdao, Nicole Leigh

Sdao, Nicole Leigh is an individual health care provider with primary practice located at 455 W Stephenson St , Freeport IL 61032-5001. She recently has only one registered license in Chiropractic Providers / Orthopedic, which is considered as her primary health care specialty. Sdao, Nicole Leigh can be contacted via phone (815) 232-4217.

Contact Information

Primary practice address
455 W Stephenson St Freeport IL 61032-5001
Fax: (815) 233-3379
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 038-008743 Illinois

Profile Details

NPI number 1962416867
LBN Legal business name Sdao, Nicole Leigh
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Dec 6th, 2013 - about 11 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 1962416867 NPPES
Illinois Other 08925958 BLUE CROSS BLUE SHEILD #
Illinois Other 350049409 BLUE CROSS BLUE SHEILD #
Illinois Other 36-3581491 BLUE CROSS BLUE SHEILD #
Illinois Other 75-3157454 BLUE CROSS BLUE SHEILD #
Illinois MEDICAID 038-008743 BLUE CROSS BLUE SHEILD #
Illinois Other K13271 BLUE CROSS BLUE SHEILD #

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