Wingham, Jeffrey A

Wingham, Jeffrey A is an sole proprietor health care provider with primary practice located at 315 Chatham Rd Suite 100, Springfield IL 62704-1497. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wingham, Jeffrey A can be contacted via phone (217) 698-5400.

Contact Information

Primary practice address
315 Chatham Rd Suite 100 Springfield IL 62704-1497
Fax: (217) 698-2800
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1235274549
LBN Legal business name Wingham, Jeffrey A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Jul 9th, 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 1235274549 NPPES
Illinois Other 08432010 BLUE CROSS BLUE SHIELD
Illinois Other 678643 BLUE CROSS BLUE SHIELD

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