Wilson, Kaleb Joe
Wilson, Kaleb Joe is an individual health care provider with primary practice located at 1713 Fort Jesse Rd Ste D , Normal IL 61761-6235. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Wilson, Kaleb Joe can be contacted via phone (309) 862-2225.Contact Information
Primary practice address
1713 Fort Jesse Rd Ste D
Normal IL 61761-6235
Phone: (309) 862-2225
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038013751 | Illinois |
Profile Details
| NPI number | 1336817097 |
|---|---|
| LBN Legal business name | Wilson, Kaleb Joe |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2021 |
| Last updated | Aug 30th, 2021 - about 5 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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