Carson, Eric Edward

Carson, Eric Edward is an individual health care provider with primary practice located at 4541 State Route 71 , Oswego IL 60543-7416. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Carson, Eric Edward can be contacted via phone (630) 551-1003.

Contact Information

Primary practice address
4541 State Route 71 Oswego IL 60543-7416
Phone: (630) 551-1003
Fax: (630) 551-4914
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois

Profile Details

NPI number 1518991462
LBN Legal business name Carson, Eric Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 8th, 2007 - about 19 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 1518991462 NPPES
Illinois Other 047-32019 BC/BS PROVIDER #
Illinois Other 214-1847 BC/BS PROVIDER #

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