Herron, Kent A

Herron, Kent A is an individual health care provider with primary practice located at 607 W Oak St , West Frankfort IL 62896-2537. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Herron, Kent A can be contacted via phone (618) 937-3509.

Contact Information

Primary practice address
607 W Oak St West Frankfort IL 62896-2537
Fax: (618) 937-3500
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038006817 Illinois

Profile Details

NPI number 1750473443
LBN Legal business name Herron, Kent A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jan 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750473443 NPPES
Illinois MEDICAID 038006817
Illinois Other 350038040
Illinois Other 1517948

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