Gerald Depew in Pekin - Chiropractor

Gerald Depew - NPI 1851346357

Gerald Depew is a Chiropractor in Pekin, Illinois. Gerald Depew practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gerald Depew is 1851346357. The last update date is 2007-07-08.

Gerald Depew's current location address is 3299 Court St, Pekin, Illinois. You can contact this provider via phone number 3093472510 and fax number 3093472502. The mailing address for Gerald Depew is 3299 Court St, Pekin, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Gerald Depew
Address 3299 Court St, Pekin, Illinois
Phone Number 3093472510
Fax Number 3093472502
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1851346357
Provider Enumeration Date 2006-05-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3299 Court St
City Pekin
State Illinois (IL)
Post Code 615546208
Phone Number 3093472510
Fax Number 3093472502

Provider's Primary Taxonomy Detail

Speciality Chiropractor
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
9032059 IL BLUE CROSS BLUE SHIELD

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FAQs about Gerald Depew

What is the unique identification code assigned to Gerald Depew by the Centers for Medicare & Medicaid Services?

The Gerald Depew has been issued the NPI (National Provider Identifier) 1851346357. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Gerald Depew?

The Gerald Depew is physically situated at 3299 Court St, in the city of Pekin, state of IL, with the postal code 615546208.

What is Gerald Depew's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gerald Depew is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1851346357 to Gerald Depew?

The Centers for Medicare & Medicaid Services originally issued the 1851346357 to Gerald Depew on 2006-05-23.

As of what date was the information regarding Gerald Depew, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gerald Depew, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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