Pamela J Rout is a Chiropractor in New Baden, Illinois. Pamela J Rout practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Pamela J Rout is 1417953613. The last update date is 2008-06-25.
Pamela J Rout's current location address is 701 E Hanover St, New Baden, Illinois. You can contact this provider via phone number 6185884976 and fax number 6185884926. The mailing address for Pamela J Rout is 701 E Hanover St, New Baden, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Pamela J Rout |
|---|---|
| Address | 701 E Hanover St, New Baden, Illinois |
| Phone Number | 6185884976 |
| Fax Number | 6185884926 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417953613 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 701 E Hanover St |
|---|---|
| City | New Baden |
| State | Illinois (IL) |
| Post Code | 622651908 |
| Phone Number | 6185884976 |
| Fax Number | 6185884926 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-004884 |
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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 |
|---|---|---|---|
| 1482003 | IL | BCBS | |
| 38004884 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Pamela J Rout by the Centers for Medicare & Medicaid Services?
The Pamela J Rout has been issued the NPI (National Provider Identifier) 1417953613. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Pamela J Rout is physically located?
The Pamela J Rout is situated at the following address: 701 E Hanover St, New Baden, IL 622651908.
What is the Pamela J Rout's specialty and taxonomy code?
The Pamela J Rout's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1417953613 to Pamela J Rout?
The Centers for Medicare & Medicaid Services originally issued the 1417953613 to Pamela J Rout on 2005-06-22.
As of what date were the details pertaining to Pamela J Rout last refreshed?
The information related to the Pamela J Rout, including its address, specialty, and other relevant details, was last updated on 2008-06-25.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH