Leroy, Nicholas Roger

Leroy, Nicholas Roger is an individual health care provider with primary practice located at 1002 W. Lake Street , Chicago IL 60607. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Leroy, Nicholas Roger can be contacted via phone (312) 243-3338.

Contact Information

Primary practice address
1002 W. Lake Street Chicago IL 60607
Phone: (312) 243-3338
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X 038-007739 Illinois

Profile Details

NPI number 1720120876
LBN Legal business name Leroy, Nicholas Roger
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Jun 30th, 2010 - about 16 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 1720120876 NPPES
Illinois Other 001607135 BCBS
Illinois Other 457811 BCBS

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