Thad Barry Gordon in Vero Beach - Chiropractor
Thad Barry Gordon - NPI 1942316112
Thad Barry Gordon is a Chiropractor in Vero Beach, Florida. Thad Barry Gordon practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thad Barry Gordon is 1942316112. The last update date is 2007-07-08.
Thad Barry Gordon's current location address is 1986 31st Avenue, Vero Beach, Florida. You can contact this provider via phone number 7725673334 and fax number 7725674523. The mailing address for Thad Barry Gordon is 1986 31st Avenue, Vero Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thad Barry Gordon |
|---|---|
| Address | 1986 31st Avenue, Vero Beach, Florida |
| Phone Number | 7725673334 |
| Fax Number | 7725674523 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1942316112 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1986 31st Avenue |
|---|---|
| City | Vero Beach |
| State | Florida (FL) |
| Post Code | 329606627 |
| Phone Number | 7725673334 |
| Fax Number | 7725674523 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH2470 |
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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 |
|---|---|---|---|
| 4400124 | UNITED HEALTHCARE | ||
| 89915 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identification code assigned to Thad Barry Gordon by the Centers for Medicare & Medicaid Services?
The Thad Barry Gordon has been issued the NPI (National Provider Identifier) 1942316112. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Thad Barry Gordon's physical address?
The Thad Barry Gordon is physically located at 1986 31St Avenue, in the city of Vero Beach, FL, with the postal code 329606627.
What is Thad Barry Gordon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Thad Barry Gordon's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Thad Barry Gordon receive its 1942316112 assignment from the Centers for Medicare & Medicaid Services?
The Thad Barry Gordon was assigned its 1942316112 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Thad Barry Gordon, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thad Barry Gordon, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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