Loren Davis is a Chiropractor in Lockport, Illinois. Loren Davis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Loren Davis is 1891917795. The last update date is 2011-11-17.
Loren Davis's current location address is 16622 W. 159th St., Lockport, Illinois. You can contact this provider via phone number 8158387746 and fax number 8158385090. The mailing address for Loren Davis is 16622 W. 159th St., Lockport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Loren Davis |
|---|---|
| Address | 16622 W. 159th St., Lockport, Illinois |
| Phone Number | 8158387746 |
| Fax Number | 8158385090 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1891917795 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2011-11-17 |
Provider Mailing Address Detail
| Address | 16622 W. 159th St. |
|---|---|
| City | Lockport |
| State | Illinois (IL) |
| Post Code | 604418015 |
| Phone Number | 8158387746 |
| Fax Number | 8158385090 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38008320 |
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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 |
|---|---|---|---|
| P00864465 | PTAN | ||
| 9932868 | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Loren Davis by the Centers for Medicare & Medicaid Services?
The Loren Davis has been issued the NPI (National Provider Identifier) 1891917795, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Loren Davis located?
The Loren Davis is located at 16622 W. 159Th St., Lockport, IL 604418015.
What is Loren Davis's area of expertise and its corresponding taxonomy classification?
The Loren Davis's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1891917795 to Loren Davis?
The Loren Davis received its 1891917795 assignment from the Centers for Medicare & Medicaid Services on 2007-05-02.
As of what date was the information regarding Loren Davis, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Loren Davis, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-17.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC