Tommy Keith Gossett in Champaign - Chiropractor
Tommy Keith Gossett - NPI 1093760183
Tommy Keith Gossett is a Chiropractor in Champaign, Illinois. Tommy Keith Gossett practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tommy Keith Gossett is 1093760183. The last update date is 2015-01-12.
Tommy Keith Gossett's current location address is 2009 Fox Dr, Champaign, Illinois. You can contact this provider via phone number 2173518040 and fax number 2172395983. The mailing address for Tommy Keith Gossett is 2009 Fox Dr, Champaign, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tommy Keith Gossett |
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Address | 2009 Fox Dr, Champaign, Illinois |
Phone Number | 2173518040 |
Fax Number | 2172395983 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1093760183 |
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Provider Enumeration Date | 2006-05-24 |
Last Updated Date | 2015-01-12 |
Provider Mailing Address Detail
Address | 2009 Fox Dr |
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City | Champaign |
State | Illinois (IL) |
Post Code | 618207363 |
Phone Number | 2173518040 |
Fax Number | 2172395983 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38003750 |
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 |
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1082016 | IL | BSBC PROVIDER # | |
1093760183 | IL | NPI # | |
350001628 | IL | RAILROAD MEDICARE PROV# |
Post Comment/ Review Below
What is the unique identifier code issued to Tommy Keith Gossett by the Centers for Medicare & Medicaid Services?
The Tommy Keith Gossett has been assigned the NPI (National Provider Identifier) 1093760183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Tommy Keith Gossett is physically located?
The Tommy Keith Gossett is situated at the following address: 2009 Fox Dr, Champaign, IL 618207363.
What is Tommy Keith Gossett's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tommy Keith Gossett's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Tommy Keith Gossett receive the assignment of its 1093760183 from the Centers for Medicare & Medicaid Services?
The Tommy Keith Gossett was issued its 1093760183 by the Centers for Medicare & Medicaid Services on 2006-05-24.
As of what date was the information pertaining to Tommy Keith Gossett, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tommy Keith Gossett, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-01-12.