Davis, Noel Cowart

Davis, Noel Cowart is an individual health care provider with primary practice located at 232 Main St Nw , Bourbonnais IL 60914-1866. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Noel Cowart can be contacted via phone (815) 939-4900.

Contact Information

Primary practice address
232 Main St Nw Bourbonnais IL 60914-1866
Phone: (815) 939-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X A05844 Iowa
Chiropractic Providers / Chiropractor 111N00000X 038-006330 Illinois

Profile Details

NPI number 1831212992
LBN Legal business name Davis, Noel Cowart
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2007
Last updated May 15th, 2014 - about 12 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 1831212992 NPPES
Illinois Other 0002782002 BCBS
Illinois Other 37-1243600 BCBS
Illinois MEDICAID 0767558 BCBS
Illinois Other 53643 BCBS
Illinois Other 253414 BCBS
Illinois Other 9484203 BCBS
Illinois Other 36-3862007 BCBS

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