Individual
DR. ERNEST JAMES KRIST JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1914 16TH ST, MOLINE, IL 61265
(309) 762-1002
(309) 736-3484
Mailing address
1914 16TH ST, MOLINE, IL 61265
(309) 762-1002
(309) 736-3484
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006563
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038006563
LICENSE NUMBER
IL
Enumeration date
08/02/2006
Last updated
03/13/2015
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