Progressive Spine & Joint Center Llc

LBN: Progressive Spine & Joint Center Llc
Progressive Spine & Joint Center Llc is an health care organization with primary practice located at 4965 Stone Falls Ctr Suite 3, O Fallon IL 62269-7803. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Progressive Spine & Joint Center Llc can be contacted via phone (618) 622-0096, or through Vickery, Jordan Wade via phone (618) 622-0096.

Contact Information

Primary practice address
4965 Stone Falls Ctr Suite 3 O Fallon IL 62269-7803
Phone: (618) 622-0096
Fax: (618) 624-9386
Website:
Map and Directions
Authorized official contact:
Name: Vickery, Jordan Wade Doctor of Chiropractic (DC)
Phone: (618) 622-0096

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038011632 Illinois

Profile Details

NPI number 1902117237
LBN Legal business name Progressive Spine & Joint Center Llc
DBA Doing business as
Authorized official Vickery, Jordan Wade Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2010
Last updated Feb 16th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers