Vickery, Jordan Wade

Vickery, Jordan Wade is an sole proprietor health care provider with primary practice located at 12860 Troxler Ave , Highland IL 62249-2898. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vickery, Jordan Wade can be contacted via phone (618) 654-3000.

Contact Information

Primary practice address
12860 Troxler Ave Highland IL 62249-2898
Phone: (618) 654-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.011632 Illinois

Profile Details

NPI number 1700109923
LBN Legal business name Vickery, Jordan Wade
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2010
Last updated Dec 14th, 2015 - about 9 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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