Whitacre, Bobbie Lynn

Whitacre, Bobbie Lynn is an individual health care provider with primary practice located at 1200 Locust St , Murphysboro IL 62966-2121. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Whitacre, Bobbie Lynn can be contacted via phone (618) 684-3344.

Contact Information

Primary practice address
1200 Locust St Murphysboro IL 62966-2121
Fax: (618) 684-2216
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Missouri

Profile Details

NPI number 1114951415
LBN Legal business name Whitacre, Bobbie Lynn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Jul 9th, 2007 - about 19 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 1114951415 NPPES
Illinois Other 02832006 BCBS

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