Brad Anthony Cotton in Peoria - Chiropractor
Brad Anthony Cotton - NPI 1942390216
Brad Anthony Cotton is a Chiropractor in Peoria, Illinois. Brad Anthony Cotton practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brad Anthony Cotton is 1942390216. The last update date is 2015-08-31.
Brad Anthony Cotton's current location address is 901 W Glen Ave, Peoria, Illinois. You can contact this provider via phone number 3096931212 and fax number 3096931212. The mailing address for Brad Anthony Cotton is 901 W Glen Ave, Peoria, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brad Anthony Cotton |
|---|---|
| Address | 901 W Glen Ave, Peoria, Illinois |
| Phone Number | 3096931212 |
| Fax Number | 3096931212 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1942390216 |
|---|---|
| Provider Enumeration Date | 2006-10-14 |
| Last Updated Date | 2015-08-31 |
Provider Mailing Address Detail
| Address | 901 W Glen Ave |
|---|---|
| City | Peoria |
| State | Illinois (IL) |
| Post Code | 616144839 |
| Phone Number | 3096931212 |
| Fax Number | 3096931212 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-009460 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brad Anthony Cotton by the Centers for Medicare & Medicaid Services?
The Brad Anthony Cotton has been issued the NPI (National Provider Identifier) 1942390216 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Brad Anthony Cotton's facilities are geographically located?
The facilities of Brad Anthony Cotton are physically situated at the following location: 901 W Glen Ave, Peoria, IL, 616144839.
What is Brad Anthony Cotton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brad Anthony Cotton's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Brad Anthony Cotton receive its 1942390216 assignment from the Centers for Medicare & Medicaid Services?
The Brad Anthony Cotton was assigned its 1942390216 by the Centers for Medicare & Medicaid Services on 2006-10-14.
As of what date was the information regarding Brad Anthony Cotton, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brad Anthony Cotton, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-08-31.
NPI Number: 1215930573
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