Shuda, Kimberly A

Shuda, Kimberly A is an sole proprietor health care provider with primary practice located at 4022 Blackhawk Rd , Rock Island IL 61201-7164. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Shuda, Kimberly A can be contacted via phone (309) 786-0883.

Contact Information

Primary practice address
4022 Blackhawk Rd Rock Island IL 61201-7164
Phone: (309) 786-0883
Fax: (309) 786-8025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038006936 Illinois

Profile Details

NPI number 1699776989
LBN Legal business name Shuda, Kimberly A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated Nov 12th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699776989 NPPES
Other 350029347 RR MEDICARE
MEDICAID 038006936 RR MEDICARE
Other 08128067 RR MEDICARE

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