Cook, Lacy Holt
Cook, Lacy Holt is an individual health care provider with primary practice located at 57 W Van Buren St , Oswego IL 60543-7213. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cook, Lacy Holt can be contacted via phone (630) 554-3578.Contact Information
Primary practice address
57 W Van Buren St
Oswego IL 60543-7213
Phone: (630) 554-3578
Fax: (630) 554-3792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1750399069 |
|---|---|
| LBN Legal business name | Cook, Lacy Holt |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750399069 | NPPES |
| Other | 4782002 | BC/BS |
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