Fletcher, Kimberly Conn

Fletcher, Kimberly Conn is an sole proprietor health care provider with primary practice located at 840 S Waukegan Rd Suite 201, Lake Forest IL 60045-2608. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fletcher, Kimberly Conn can be contacted via phone (224) 544-5033.

Contact Information

Primary practice address
840 S Waukegan Rd Suite 201 Lake Forest IL 60045-2608
Phone: (224) 544-5033
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4720012 Wisconsin

Profile Details

NPI number 1457658304
LBN Legal business name Fletcher, Kimberly Conn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 11th, 2011
Last updated Apr 18th, 2016 - about 10 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 1457658304 NPPES
Illinois Other 038011833 ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION
Illinois Other 4720012 ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION

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