Wakefield, Kristopher Wade

Wakefield, Kristopher Wade is an sole proprietor health care provider with primary practice located at 448 Cole St , Bushnell IL 61422-1540. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Radiology. Chiropractic Providers / Chiropractor is his primary health care specialty. Wakefield, Kristopher Wade can be contacted via phone (309) 772-2317.

Contact Information

Primary practice address
448 Cole St Bushnell IL 61422-1540
Phone: (309) 772-2317
Fax: (309) 772-2317
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Chiropractic Providers / Radiology 111NR0200X Illinois

Profile Details

NPI number 1154356285
LBN Legal business name Wakefield, Kristopher Wade
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2006
Last updated Oct 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154356285 NPPES
Illinois Other 5522061 BC/BS NUMBER

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