Stites, John S.

Stites, John S. is an individual health care provider with primary practice located at 2001 52Nd Ave Suite 1, Moline IL 61265-6368. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stites, John S. can be contacted via phone (309) 764-4901.

Contact Information

Primary practice address
2001 52Nd Ave Suite 1 Moline IL 61265-6368
Fax: (309) 797-7688
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 05060 Iowa
Chiropractic Providers / Chiropractor 111N00000X 038005059 Illinois

Profile Details

NPI number 1265491096
LBN Legal business name Stites, John S.
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Mar 19th, 2014 - about 10 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 1265491096 NPPES
Illinois Other 323290 BLUE CROSS BLUE SHIELD IL
Illinois MEDICAID 038005059 BLUE CROSS BLUE SHIELD IL

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