Michael Douglas Bradley in Marion - Chiropractor
Michael Douglas Bradley - NPI 1063631075
Michael Douglas Bradley is a Chiropractor in Marion, Illinois. Michael Douglas Bradley practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael Douglas Bradley is 1063631075. The last update date is 2007-07-08.
Michael Douglas Bradley's current location address is 2306 W Main St, Marion, Illinois. You can contact this provider via phone number 6189975959 and fax number 6189933161. The mailing address for Michael Douglas Bradley is 2306 W Main St, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Douglas Bradley |
|---|---|
| Address | 2306 W Main St, Marion, Illinois |
| Phone Number | 6189975959 |
| Fax Number | 6189933161 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1063631075 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2306 W Main St |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629591179 |
| Phone Number | 6189975959 |
| Fax Number | 6189933161 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38005625 |
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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 identifier code issued to Michael Douglas Bradley by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Douglas Bradley has been assigned the NPI (National Provider Identifier) 1063631075. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Michael Douglas Bradley is physically located?
The Michael Douglas Bradley is situated at the following address: 2306 W Main St, Marion, IL 629591179.
What is Michael Douglas Bradley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Michael Douglas Bradley is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Michael Douglas Bradley receive the assignment of its 1063631075 from the Centers for Medicare & Medicaid Services?
The Michael Douglas Bradley was issued its 1063631075 by the Centers for Medicare & Medicaid Services on 2007-04-25.
When was the information regarding Michael Douglas Bradley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Michael Douglas Bradley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.