Weckbach, Robert T
Weckbach, Robert T is an sole proprietor health care provider with primary practice located at 422 Maine Street , Quincy IL 62301. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Weckbach, Robert T can be contacted via phone (217) 222-4399.Contact Information
Primary practice address
422 Maine Street
Quincy IL 62301
Phone: (217) 222-4399
Fax: (217) 222-0480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038004861 | Illinois |
Profile Details
| NPI number | 1902987324 |
|---|---|
| LBN Legal business name | Weckbach, Robert T |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Mar 25th, 2011 - about 14 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 | 1902987324 | NPPES |
| Illinois | MEDICAID | 038004861 | |
| Illinois | Other | 350042367 | |
| Illinois | Other | 0000182012 |
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