Cory Lane Gardner in Elkins - Chiropractor

Cory Lane Gardner - NPI 1124060082

Cory Lane Gardner is a Chiropractor in Elkins, . Cory Lane Gardner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Cory Lane Gardner is 1124060082. The last update date is 2007-07-08.

Cory Lane Gardner's current location address is 301 Orchard St, Elkins, . You can contact this provider via phone number 3046362411 and fax number 3046362411. The mailing address for Cory Lane Gardner is 301 Orchard St, Elkins, . To know further, please read the information below!

Provider Profile Detail

Provider Name Cory Lane Gardner
Address 301 Orchard St, Elkins,
Phone Number 3046362411
Fax Number 3046362411
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1124060082
Provider Enumeration Date 2006-06-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 301 Orchard St
City Elkins
State (WV)
Post Code 262413338
Phone Number 3046362411
Fax Number 3046362411

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 803
Definition:
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 inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11351236 WV CIGNA
3810000836 WV --
P00209889 WV RAILROAD MEDICARE
WV00803 WV THE HEALTH PLAN

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FAQs about Cory Lane Gardner

What is the unique 10-digit identifier code assigned to Cory Lane Gardner by the Centers for Medicare & Medicaid Services?

The Cory Lane Gardner has been issued the NPI (National Provider Identifier) 1124060082 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Cory Lane Gardner is physically located?

The Cory Lane Gardner is situated at the following address: 301 Orchard St, Elkins, WV 262413338.

What is Cory Lane Gardner's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Cory Lane Gardner is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1124060082 to Cory Lane Gardner?

The Centers for Medicare & Medicaid Services assigned the 1124060082 to Cory Lane Gardner on 2006-06-12.

When was the information regarding Cory Lane Gardner most recently updated?

The details pertaining to the Cory Lane Gardner, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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