Vannatta, Michael J

Vannatta, Michael J is an sole proprietor health care provider with primary practice located at 2514 24Th St , Rock Island IL 61201-5304. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vannatta, Michael J can be contacted via phone (309) 786-2200.

Contact Information

Primary practice address
2514 24Th St Rock Island IL 61201-5304
Phone: (309) 786-2200
Fax: (309) 788-3638
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038005397 Illinois

Profile Details

NPI number 1225001506
LBN Legal business name Vannatta, Michael J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Apr 4th, 2014 - about 12 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 1225001506 NPPES
Illinois Other 0008182068 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 0994608 BLUE CROSS/BLUE SHIELD
Illinois Other 651035 BLUE CROSS/BLUE SHIELD
Illinois Other 239923 BLUE CROSS/BLUE SHIELD
Illinois Other 90782 BLUE CROSS/BLUE SHIELD
Illinois MEDICAID 038005397 BLUE CROSS/BLUE SHIELD

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