Bradley Koehn Chiropractic Corporation in Modesto - Chiropractor
Bradley Koehn Chiropractic Corporation - NPI 1578653234
Bradley Koehn Chiropractic Corporation is a Chiropractor in Modesto, California. Bradley Koehn Chiropractic Corporation practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Koehn Chiropractic Corporation is 1578653234. The last update date is 2007-10-05.
Bradley Koehn Chiropractic Corporation's current location address is 321 E Granger Ave, Modesto, California. You can contact this provider via phone number 2092383333 and fax number 2092383249. The mailing address for Bradley Koehn Chiropractic Corporation is 321 E Granger Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradley Koehn Chiropractic Corporation |
|---|---|
| Address | 321 E Granger Ave, Modesto, California |
| Phone Number | 2092383333 |
| Fax Number | 2092383249 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OWN |
|---|---|
| Authorized Official Name | Koehn D Bradley |
| Credentials | DC |
| Telephone Number | 2092383333 |
NPI Number Detail
| NPI Number | 1578653234 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 321 E Granger Ave |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953504304 |
| Phone Number | 2092383333 |
| Fax Number | 2092383249 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC230341 |
|
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 |
|---|---|---|---|
| ZZZ07887Z | BLUE SHIELD |
Post Comment/ Review Below
What is the Bradley Koehn Chiropractic Corporation's unique identification number?
The Bradley Koehn Chiropractic Corporation has been assigned the NPI (National Provider Identifier) Number 1578653234 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Bradley Koehn Chiropractic Corporation is located?
The Bradley Koehn Chiropractic Corporation is situated at the following address: 321 E Granger Ave, Modesto, CA, 953504304.
What is Bradley Koehn Chiropractic Corporation's specialized field of practice, and what is the corresponding taxonomy classification code?
The Bradley Koehn Chiropractic Corporation's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578653234 to Bradley Koehn Chiropractic Corporation?
The Centers for Medicare & Medicaid Services originally issued the 1578653234 to Bradley Koehn Chiropractic Corporation on 2006-10-13.
As of what date was the information pertaining to Bradley Koehn Chiropractic Corporation, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradley Koehn Chiropractic Corporation, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-05.