Richard, Keith Charles

Richard, Keith Charles is an sole proprietor health care provider with primary practice located at 138 S Oak Ave , Bartlett IL 60103-6620. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Richard, Keith Charles can be contacted via phone (630) 830-1500.

Contact Information

Primary practice address
138 S Oak Ave Bartlett IL 60103-6620
Phone: (630) 830-1500
Fax: (630) 830-2513
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH7396 Florida
Chiropractic Providers / Chiropractor 111N00000X 038010561 Illinois

Profile Details

NPI number 1245399054
LBN Legal business name Richard, Keith Charles
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2006
Last updated Jul 26th, 2012 - about 14 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 1245399054 NPPES
Florida MEDICAID 3817636
Florida Other 55689
Florida Other AD239

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