Stateline Chiropractic & Sports Injury Clinic Sc

LBN: Stateline Chiropractic & Sports Injury Clinic Sc
Stateline Chiropractic & Sports Injury Clinic Sc is an health care organization with primary practice located at 1407 Pate Plaza Dr , South Beloit IL 61080. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Stateline Chiropractic & Sports Injury Clinic Sc can be contacted via phone (815) 389-7870, or through Probst, Joseph via phone (815) 389-7870.

Contact Information

Primary practice address
1407 Pate Plaza Dr South Beloit IL 61080
Phone: (815) 389-7870
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Probst, Joseph Doctor of Chiropractic (DC)
Phone: (815) 389-7870

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X 038008186 Illinois

Profile Details

NPI number 1003028127
LBN Legal business name Stateline Chiropractic & Sports Injury Clinic Sc
DBA Doing business as
Authorized official Probst, Joseph Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 1st, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1003028127 NPPES
Illinois Other 038008186 LIC NUMBER

Popular Providers