Hendricks, Samuel
Hendricks, Samuel is an individual health care provider with primary practice located at 2000 W Pioneer Pkwy Suite 18A, Peoria IL 61615-1835. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Hendricks, Samuel can be contacted via phone (309) 670-2800.Contact Information
Primary practice address
2000 W Pioneer Pkwy Suite 18A
Peoria IL 61615-1835
Phone: (309) 670-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1598 | Idaho |
| Chiropractic Providers / Chiropractor | 111N00000X | 038012554 | Illinois |
Profile Details
| NPI number | 1609296201 |
|---|---|
| LBN Legal business name | Hendricks, Samuel |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2014 |
| Last updated | Jan 5th, 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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