Taylorville Lifelong Chiropractic Center
LBN: Taylorville Lifelong Chiropractic Center
Taylorville Lifelong Chiropractic Center is an health care organization with primary practice located at 400 W Market St , Taylorville IL 62568-2188. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Taylorville Lifelong Chiropractic Center can be contacted via phone (217) 287-1040, or through Picone, Edward James via phone (217) 287-1040.
Contact Information
Primary practice address
400 W Market St
Taylorville IL 62568-2188
Phone: (217) 287-1040
Fax:
Website:
Authorized official contact:
Name: Picone, Edward James Doctor of Chiropractic (DC)
Phone: (217) 287-1040
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Preferred Provider Organization | 305R00000X | 038010164 | Illinois |
Profile Details
| NPI number | 1497955264 |
|---|---|
| LBN Legal business name | Taylorville Lifelong Chiropractic Center |
| DBA Doing business as | |
| Authorized official | Picone, Edward James Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 20th, 2007 |
| Last updated | Jul 20th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497955264 | NPPES |
| Illinois | Other | 01132002 | BLUE CROSS BLUE SHIELD OF |
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