Gregory Bidlack is a Chiropractor in Surprise, Arizona. Gregory Bidlack practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory Bidlack is 1336297993. The last update date is 2017-09-29.
Gregory Bidlack's current location address is 18775 N Reems Rd, Surprise, Arizona. You can contact this provider via phone number 6235440200. The mailing address for Gregory Bidlack is 18775 N Reems Rd, Surprise, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Bidlack |
|---|---|
| Address | 18775 N Reems Rd, Surprise, Arizona |
| Phone Number | 6235440200 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1336297993 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2017-09-29 |
Provider Mailing Address Detail
| Address | 18775 N Reems Rd |
|---|---|
| City | Surprise |
| State | Arizona (AZ) |
| Post Code | 853748647 |
| Phone Number | 6235440200 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3222 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AZ0944530 | AZ | BCBS |
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What is the unique provider identifier assigned to Gregory Bidlack?
The Gregory Bidlack has been issued the NPI (National Provider Identifier) 1336297993 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Gregory Bidlack is physically located?
The Gregory Bidlack is physically situated at the following address: 18775 N Reems Rd, Surprise, AZ, 853748647.
What is the Gregory Bidlack's area of specialization and corresponding taxonomy classification?
The Gregory Bidlack's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did Gregory Bidlack receive its 1336297993 assignment from the Centers for Medicare & Medicaid Services?
The Gregory Bidlack was assigned its 1336297993 on 2007-01-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Gregory Bidlack's information last updated?
The Gregory Bidlack's information was last updated on 2017-09-29.