Robert Matthew Gretencord in Ottawa - Chiropractor
Robert Matthew Gretencord - NPI 1992898399
Robert Matthew Gretencord is a Chiropractor in Ottawa, Illinois. Robert Matthew Gretencord practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Robert Matthew Gretencord is 1992898399. The last update date is 2017-07-19.
Robert Matthew Gretencord's current location address is 106 W Mckinley Rd, Ottawa, Illinois. You can contact this provider via phone number 8154341616 and fax number 8154341625. The mailing address for Robert Matthew Gretencord is 106 W Mckinley Rd, Ottawa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Matthew Gretencord |
|---|---|
| Address | 106 W Mckinley Rd, Ottawa, Illinois |
| Phone Number | 8154341616 |
| Fax Number | 8154341625 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1992898399 |
|---|---|
| Provider Enumeration Date | 2006-09-30 |
| Last Updated Date | 2017-07-19 |
Provider Mailing Address Detail
| Address | 106 W Mckinley Rd |
|---|---|
| City | Ottawa |
| State | Illinois (IL) |
| Post Code | 613504713 |
| Phone Number | 8154341616 |
| Fax Number | 8154341625 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-009691 |
|
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 |
|---|---|---|---|
| 1634958 | IL | BLUE CROSS BLUE SHIELD |
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What is the unique provider identifier assigned to Robert Matthew Gretencord?
The Robert Matthew Gretencord has been issued the NPI (National Provider Identifier) 1992898399 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Robert Matthew Gretencord's physical address?
The Robert Matthew Gretencord is physically located at 106 W Mckinley Rd, in the city of Ottawa, IL, with the postal code 613504713.
What is Robert Matthew Gretencord's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert Matthew Gretencord is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Robert Matthew Gretencord receive the assignment of its 1992898399 from the Centers for Medicare & Medicaid Services?
The Robert Matthew Gretencord was issued its 1992898399 by the Centers for Medicare & Medicaid Services on 2006-09-30.
As of what date were the Robert Matthew Gretencord's details last updated?
The information pertaining to the Robert Matthew Gretencord, including its address, specialty, and other details, was most recently updated on 2017-07-19.
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