Gergovich, Michael James
Gergovich, Michael James is an individual health care provider with primary practice located at 130 3Rd St , La Salle IL 61301-2312. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gergovich, Michael James can be contacted via phone (815) 223-0647.Contact Information
Primary practice address
130 3Rd St
La Salle IL 61301-2312
Phone: (815) 223-0647
Fax: (815) 223-0987
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038011831 | Illinois |
Profile Details
| NPI number | 1295032084 |
|---|---|
| LBN Legal business name | Gergovich, Michael James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2011 |
| Last updated | Oct 16th, 2018 - about 8 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 | 1295032084 | NPPES |
| Illinois | Other | 1619267135 | CHIROPRACTOR |
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