STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC NPI 1003028127

Chiropractor (Sports Physician) in South Beloit, IL

NPI 1003028127 Organization Chiropractor Sports Physician

About STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC

Stateline Chiropractic & Sports Injury Clinic Sc is a provider established in South Beloit, Illinois specializing in chiropractor (sports physician) . The NPI number of Stateline Chiropractic & Sports Injury Clinic Sc is 1003028127 and was assigned on May 2007. The practitioner's primary taxonomy code is 111NS0005X with license number 038008186 (IL). The provider is registered as an organization and their NPI record was last updated 3 years ago. Stateline Chiropractic & Sports Injury Clinic Sc operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Joseph Probst Dc (President)

A chiropractor like Stateline Chiropractic & Sports Injury Clinic Sc helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

NPI

1003028127

Provider NameSTATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC
Provider Location Address1407 PATE PLAZA DR SOUTH BELOIT, IL 61080
Provider Mailing Address1407 PATE PLAZA DR SOUTH BELOIT, IL 61080
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-03-2007
Last Update Date08-01-2018


Primary Taxonomy

Taxonomy Code111NS0005X
ClassificationChiropractor
TypeChiropractic Providers
SpecializationSports Physician
License No.038008186
License StateIL
Taxonomy DescriptionA sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Business Address

STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC
1407 PATE PLAZA DR
SOUTH BELOIT, IL
ZIP 61080
Phone: (815) 389-7870

Get Directions


Mailing Address

STATELINE CHIROPRACTIC & SPORTS INJURY CLINIC SC
1407 PATE PLAZA DR
SOUTH BELOIT, IL
ZIP 61080
Phone: (815) 389-7870



Authorized Official

Authorized Official Name JOSEPH PROBST DC
Authorized Official TitlePRESIDENT
Authorized Official Phone(815) 389-7870

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
038008186OTHER (01)IL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1679839773SOUTH BELOIT OFFICE
Organization
General Practice1407 PATE PLAZA DR
SOUTH BELOIT, IL 61080
(630) 219-2002
1265558837DR. JOSEPH C PROBST DC
Individual
Chiropractor (Sports Physician)1407 PATE PLAZA DR
SOUTH BELOIT, IL 61080
(815) 389-7870

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.