Vick, John Steve
Vick, John Steve is an individual health care provider with primary practice located at 916 Talon Dr Ste 102, O Fallon IL 62269-1848. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vick, John Steve can be contacted via phone (618) 628-8211.Contact Information
Primary practice address
916 Talon Dr Ste 102
O Fallon IL 62269-1848
Phone: (618) 628-8211
Fax: (618) 628-0883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1235135617 |
|---|---|
| LBN Legal business name | Vick, John Steve |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| 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 | 1235135617 | NPPES |
| Illinois | Other | P00107451 | MEDICARE RR |
| Illinois | Other | 5148141 | MEDICARE RR |
| Illinois | Other | 229688 | MEDICARE RR |
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