Stinson Chiropractic LLC
Organization Active NPI Chiropractor · Casey, IL
NPI 1790317618 · NPPES record last updated Feb 8, 2020
Key facts
- NPI
- 1790317618
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- STINSON CHIROPRACTIC LLC
- Practice address
- 409 N Central Ave
Casey, IL 62420-1408 - Phone
- (217) 932-5740
- NPI assigned
- Feb 8, 2020
- Organization subpart
- No
Authorized official
- Name
- Aaron Stinson, DC
- Title
- Sole Member
- Phone
- (217) 932-3477
Practitioners 2
-
Aaron Lee Thomas Stinson, D.C.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200609000200 | IL | Part B Supplier - Clinic/Group Practice | 6204257728 |
Receives reassigned benefits from 1 practitioner Practice locations: Casey, IL |
National Provider Directory
Locations
409 N Central Ave
Casey, IL 62420
Phone (217) 932-5740
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
409 N Central Ave
Casey, IL 62420-1408
Mailing address
200 W Main St
Casey, IL 62420-1212
Phone (217) 932-3477
Other providers in Casey, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.