Dickerson Chiropractic And Wellness Center Pc in East Peoria - Chiropractor
Dickerson Chiropractic And Wellness Center Pc - NPI 1396944559
Dickerson Chiropractic And Wellness Center Pc is a Chiropractor in East Peoria, Illinois. Dickerson Chiropractic And Wellness Center Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Dickerson Chiropractic And Wellness Center Pc is 1396944559. The last update date is 2007-08-06.
Dickerson Chiropractic And Wellness Center Pc's current location address is 100 N Main St, East Peoria, Illinois. You can contact this provider via phone number 3096997900. The mailing address for Dickerson Chiropractic And Wellness Center Pc is 100 N Main St, East Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dickerson Chiropractic And Wellness Center Pc |
|---|---|
| Address | 100 N Main St, East Peoria, Illinois |
| Phone Number | 3096997900 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Dickerson K Thomas |
| Credentials | DC, DICCP |
| Telephone Number | 3096997900 |
NPI Number Detail
| NPI Number | 1396944559 |
|---|---|
| Provider Enumeration Date | 2007-07-17 |
| Last Updated Date | 2007-08-06 |
Provider Mailing Address Detail
| Address | 100 N Main St |
|---|---|
| City | East Peoria |
| State | Illinois (IL) |
| Post Code | 616112533 |
| Phone Number | 3096997900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dickerson Chiropractic And Wellness Center Pc by the Centers for Medicare & Medicaid Services?
The Dickerson Chiropractic And Wellness Center Pc has been assigned the NPI (National Provider Identifier) 1396944559 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dickerson Chiropractic And Wellness Center Pc's physical address?
The Dickerson Chiropractic And Wellness Center Pc is physically located at 100 N Main St, in the city of East Peoria, IL, with the postal code 616112533.
What is Dickerson Chiropractic And Wellness Center Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dickerson Chiropractic And Wellness Center Pc is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1396944559 to Dickerson Chiropractic And Wellness Center Pc?
The Dickerson Chiropractic And Wellness Center Pc received its 1396944559 assignment from the Centers for Medicare & Medicaid Services on 2007-07-17.
As of what date were the details related to Dickerson Chiropractic And Wellness Center Pc most recently updated or revised?
The information pertaining to Dickerson Chiropractic And Wellness Center Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-06.