Williams, Kimberly Sue

Williams, Kimberly Sue is an individual health care provider with primary practice located at 6019 Fincham Dr , Rockford IL 61108-2550. She recently has only one registered license in Chiropractic Providers / Internist, which is considered as her primary health care specialty. Williams, Kimberly Sue can be contacted via phone (815) 708-1025.

Contact Information

Primary practice address
6019 Fincham Dr Rockford IL 61108-2550
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 038.010875 Illinois

Profile Details

NPI number 1700937307
LBN Legal business name Williams, Kimberly Sue
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Oct 24th, 2016 - about 8 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 1700937307 NPPES
Illinois Other 10132239 BLUE CROSS

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