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Contact Information

PAIN RELIEF CENTER OF VANDALIA INC
100 N KENNEDY BLVD
VANDALIA, IL62471
 Phone: 618-283-1100
 Fax: 618-283-1101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for PAIN RELIEF CENTER OF VANDALIA INC · (Female)

NPI # 1588773089
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2006
Last updated 06/19/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 038009768
  • IL Other 02632010 BCBS
  • IL Other 539980 HL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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