Tripp, James R

Tripp, James R is an sole proprietor health care provider with primary practice located at 201 Park Pl Ste 10 , Bourbonnais IL 60914. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Tripp, James R can be contacted via phone (815) 393-2225.

Contact Information

Primary practice address
201 Park Pl Ste 10 Bourbonnais IL 60914
Phone: (815) 393-2225
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038006693 Illinois

Profile Details

NPI number 1770669517
LBN Legal business name Tripp, James R
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2006
Last updated Jun 1st, 2018 - about 8 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 1770669517 NPPES
Illinois Other 4682111 BLUE CROSS BLUE SHIELD
Illinois Other 350026295 BLUE CROSS BLUE SHIELD

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