Kamholtz Roberts, Vincent James
Kamholtz Roberts, Vincent James is an individual health care provider with primary practice located at 817 Chicago Ave Apt 5 , Evanston IL 60202. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Orthopedic. Chiropractic Providers / Orthopedic is his primary health care specialty. Kamholtz Roberts, Vincent James can be contacted via phone (773) 425-8333.Contact Information
Primary practice address
817 Chicago Ave Apt 5
Evanston IL 60202
Phone: (773) 425-8333
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038 008466 | Illinois |
| Chiropractic Providers / Orthopedic | 111NX0800X | 038008466 | Illinois |
Profile Details
| NPI number | 1134191281 |
|---|---|
| LBN Legal business name | Kamholtz Roberts, Vincent James |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Sep 13th, 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 | 1134191281 | NPPES |
| Illinois | Other | 4532199 | BLUE CROSS |
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