National Provider Identifier Database

PAIN RELIEF CENTER OF VANDALIA INC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for PAIN RELIEF CENTER OF VANDALIA INC

NPI Number 1588773089
Legal business name
LBN
PAIN RELIEF CENTER OF VANDALIA INC
Authorized official JEREMY CLARK - (DOCTOR OF CHIROPRACTIC)
Entity Organization
Organization subpart No
Enumeration date 08/29/2006
Last updated 06/19/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 038009768
  • IL Other: 02632010 BCBS
  • IL Other: 539980 HL

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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