Kong, Andrew

Kong, Andrew is an individual health care provider with primary practice located at 5301 E State St Suite 101 Back In Action Holistic Health Center, Rockford IL 61108. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kong, Andrew can be contacted via phone (815) 397-8500.

Contact Information

Primary practice address
5301 E State St Suite 101 Back In Action Holistic Health Center Rockford IL 61108
Phone: (815) 397-8500
Fax: (815) 397-8588
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038007316 Illinois

Profile Details

NPI number 1598817934
LBN Legal business name Kong, Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 19 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 1598817934 NPPES
Other 331054985 TAX ID
Other 0010132077 TAX ID

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