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
Phone: (815) 232-4217
Fax: (815) 233-3379
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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