Sdao, Roger

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

Contact Information

Primary practice address
455 W. Stephenson St. Freeport IL 61032
Phone: (815) 232-4217
Fax: (815) 233-3379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Orthopedic 111NX0800X 038-009058 Illinois

Profile Details

NPI number 1699799346
LBN Legal business name Sdao, Roger
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Dec 30th, 2016 - about 8 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 1699799346 NPPES
Illinois Other 350049409 MEDICARE RAILROAD
Illinois Other K13270 MEDICARE RAILROAD
Illinois Other 08925958 MEDICARE RAILROAD

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