Teagle, Kevin C

Teagle, Kevin C is an sole proprietor health care provider with primary practice located at 1829 Nebraska Ave , Grants Pass OR 97527-5701. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Teagle, Kevin C can be contacted via phone (541) 474-2225.

Contact Information

Primary practice address
1829 Nebraska Ave Grants Pass OR 97527-5701
Phone: (541) 474-2225
Fax: (541) 474-2229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3232 Oregon

Profile Details

NPI number 1275680175
LBN Legal business name Teagle, Kevin C
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Apr 9th, 2009 - 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 1275680175 NPPES
Oregon Other 3232 STATE LICENSE #
Oregon Other 93-1325306 STATE LICENSE #

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