Keith Alan Cloe in Mount Vernon - Chiropractor
Keith Alan Cloe - NPI 1275658908
Keith Alan Cloe is a Chiropractor in Mount Vernon, Illinois. Keith Alan Cloe practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Keith Alan Cloe is 1275658908. The last update date is 2010-10-29.
Keith Alan Cloe's current location address is 330 Broadway St, Mount Vernon, Illinois. You can contact this provider via phone number 6182419211 and fax number 6182419212. The mailing address for Keith Alan Cloe is 330 Broadway St, Mount Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Alan Cloe |
|---|---|
| Address | 330 Broadway St, Mount Vernon, Illinois |
| Phone Number | 6182419211 |
| Fax Number | 6182419212 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1275658908 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2010-10-29 |
Provider Mailing Address Detail
| Address | 330 Broadway St |
|---|---|
| City | Mount Vernon |
| State | Illinois (IL) |
| Post Code | 628645116 |
| Phone Number | 6182419211 |
| Fax Number | 6182419212 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38008422 |
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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 |
|---|---|---|---|
| 4122210 | IL | BLUE CROSS BLUE SHIELD | |
| 38008422 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Keith Alan Cloe by the Centers for Medicare & Medicaid Services?
The Keith Alan Cloe has been assigned the NPI (National Provider Identifier) 1275658908 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Keith Alan Cloe is geographically located?
The Keith Alan Cloe is physically situated at the following location: 330 Broadway St, Mount Vernon, IL, 628645116.
What is Keith Alan Cloe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Keith Alan Cloe's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275658908 to Keith Alan Cloe?
The Centers for Medicare & Medicaid Services originally issued the 1275658908 to Keith Alan Cloe on 2007-03-20.
As of what date was the information regarding Keith Alan Cloe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Keith Alan Cloe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-10-29.