Tejada, Jose David
Tejada, Jose David is an sole proprietor health care provider with primary practice located at 2166 Ogden Ave , Aurora IL 60504-7215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tejada, Jose David can be contacted via phone (630) 375-9444.Contact Information
Primary practice address
2166 Ogden Ave
Aurora IL 60504-7215
Phone: (630) 375-9444
Fax: (630) 375-9660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009944 | Illinois |
Profile Details
| NPI number | 1336202944 |
|---|---|
| LBN Legal business name | Tejada, Jose David |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1336202944 | NPPES |
| Illinois | Other | 02232400 | BCBS PROVIDER # |
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