Zimmerman Chiropractic Clinic Pc

LBN: Zimmerman Chiropractic Clinic Pc
Zimmerman Chiropractic Clinic Pc is an health care organization with primary practice located at 7 E Main St , Du Quoin IL 62832-1420. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Zimmerman Chiropractic Clinic Pc can be contacted via phone (618) 542-2165, or through Zimmerman, Richard Wayne via phone (618) 542-2165.

Contact Information

Primary practice address
7 E Main St Du Quoin IL 62832-1420
Phone: (618) 542-2165
Fax: (618) 542-9276
Website:
Map and Directions
Authorized official contact:
Name: Zimmerman, Richard Wayne DC, CCSP.
Phone: (618) 542-2165

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1396053005
LBN Legal business name Zimmerman Chiropractic Clinic Pc
DBA Doing business as
Authorized official Zimmerman, Richard Wayne DC, CCSP.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2010
Last updated Sep 15th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396053005 NPPES
Illinois MEDICAID 038007421
Illinois Other 07308609

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