Bladel, Shawn Michael

Bladel, Shawn Michael is an individual health care provider with primary practice located at 329 Amphitheater Dr , Rockford IL 61107-6662. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bladel, Shawn Michael can be contacted via phone (779) 210-3994.

Contact Information

Primary practice address
329 Amphitheater Dr Rockford IL 61107-6662
Phone: (779) 210-3994
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038.010820 Illinois
Chiropractic Providers / Chiropractor 111N00000X 038010820 Illinois

Profile Details

NPI number 1770644908
LBN Legal business name Bladel, Shawn Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 21st, 2022 - about 4 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 1770644908 NPPES
Illinois Other 038.010820 STATE OF ILLINOIS LICENSE

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