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Individual

DR. CHARLES E KING JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1525 JOHNSON RD, GRANITE CITY, IL 62040-3831
(618) 452-1986
(618) 452-6814
Mailing address
PO BOX 1343, GRANITE CITY, IL 62040-1343
(618) 452-1986
(618) 452-6814

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06032044
BC/BS OF ILLINOIS
01
164497
BC/BS OF MISSOURI
Enumeration date
09/22/2006
Last updated
07/08/2007
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