Spear, Kory L.
Spear, Kory L. is an sole proprietor health care provider with primary practice located at 7326 N. Cherryvale Dr. , Rockford IL 61112-1059. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Spear, Kory L. can be contacted via phone (815) 394-9805.Contact Information
Primary practice address
7326 N. Cherryvale Dr.
Rockford IL 61112-1059
Phone: (815) 394-9805
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038009737 | Illinois |
Profile Details
| NPI number | 1952380552 |
|---|---|
| LBN Legal business name | Spear, Kory L. |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Oct 31st, 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 | 1952380552 | NPPES |
| Illinois | MEDICAID | 038009737 |
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