Bradley Ray Drake in Mt Vernon - Chiropractor
Bradley Ray Drake - NPI 1144330945
Bradley Ray Drake is a Chiropractor in Mt Vernon, Illinois. Bradley Ray Drake practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Ray Drake is 1144330945. The last update date is 2007-07-08.
Bradley Ray Drake's current location address is 1315 Main Street, Mt Vernon, Illinois. You can contact this provider via phone number 6182424554 and fax number 6182424653. The mailing address for Bradley Ray Drake is 1315 Main Street, Mt Vernon, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bradley Ray Drake |
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Address | 1315 Main Street, Mt Vernon, Illinois |
Phone Number | 6182424554 |
Fax Number | 6182424653 |
Sole Proprietor | N |
Credentials | -- |
NPI Number Detail
NPI Number | 1144330945 |
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Provider Enumeration Date | 2006-08-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1315 Main Street |
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City | Mt Vernon |
State | Illinois (IL) |
Post Code | 628643720 |
Phone Number | 6182424554 |
Fax Number | 6182424653 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
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 |
---|---|---|---|
4182010 | IL | BCBS |
Post Comment/ Review Below
What is the Bradley Ray Drake's 1144330945?
The Bradley Ray Drake's NPI (National Provider Identifier) Number is 1144330945. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Bradley Ray Drake?
The Bradley Ray Drake is situated at 1315 Main Street, in the city of Mt Vernon, state of IL, with the zip code 628643720.
What is the area of specialization for Bradley Ray Drake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bradley Ray Drake is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Bradley Ray Drake receive its 1144330945 assignment from the Centers for Medicare & Medicaid Services?
The Bradley Ray Drake was assigned its 1144330945 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Bradley Ray Drake most recently updated or refreshed?
The details pertaining to the Bradley Ray Drake, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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