Petry, Matthew Allen
Petry, Matthew Allen is an sole proprietor health care provider with primary practice located at 12624 S Route 59 Unit 2 , Plainfield IL 60585-5448. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Petry, Matthew Allen can be contacted via phone (815) 254-1234.Contact Information
Primary practice address
12624 S Route 59 Unit 2
Plainfield IL 60585-5448
Phone: (815) 254-1234
Fax: (815) 254-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038-009285 | Illinois |
Profile Details
| NPI number | 1922128057 |
|---|---|
| LBN Legal business name | Petry, Matthew Allen |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Dec 20th, 2013 - about 13 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 | 1922128057 | NPPES |
| Illinois | Other | 2232398 | BCBS PPO |
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