Durocher, Ryan Thomas
Durocher, Ryan Thomas is an sole proprietor health care provider with primary practice located at 3608 Carnoustie Dr , Springfield IL 62712-5555. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Durocher, Ryan Thomas can be contacted via phone (217) 622-6161.Contact Information
Primary practice address
3608 Carnoustie Dr
Springfield IL 62712-5555
Phone: (217) 622-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009110 | Illinois |
Profile Details
| NPI number | 1871593350 |
|---|---|
| LBN Legal business name | Durocher, Ryan Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Nov 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871593350 | NPPES |
| Illinois | Other | 08432102 | BCBS |
| Illinois | Other | P00331729 | BCBS |
| Illinois | Other | 666373 | BCBS |
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