Craig M Bretz in Sullivan - Chiropractor

Craig M Bretz - NPI 1568562403

Craig M Bretz is a Chiropractor in Sullivan, Illinois. Craig M Bretz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Craig M Bretz is 1568562403. The last update date is 2007-07-09.

Craig M Bretz's current location address is 101 W Jefferson St, Sullivan, Illinois. You can contact this provider via phone number 2177288891 and fax number 2177288891. The mailing address for Craig M Bretz is 101 W Jefferson St, Sullivan, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig M Bretz
Address 101 W Jefferson St, Sullivan, Illinois
Phone Number 2177288891
Fax Number 2177288891
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1568562403
Provider Enumeration Date 2006-09-22
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 101 W Jefferson St
City Sullivan
State Illinois (IL)
Post Code 619511914
Phone Number 2177288891
Fax Number 2177288891

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
7008408 IL BLUE CROSS & BLUE SHIELD

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FAQs about Craig M Bretz

What is the unique provider identifier assigned to Craig M Bretz?

The Craig M Bretz has been issued the NPI (National Provider Identifier) 1568562403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Craig M Bretz's facilities are situated?

The facilities of Craig M Bretz are physically located at the following address: 101 W Jefferson St, Sullivan, IL, 619511914.

What is Craig M Bretz's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Craig M Bretz's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did Craig M Bretz receive its 1568562403 assignment from the Centers for Medicare & Medicaid Services?

The Craig M Bretz was assigned its 1568562403 on 2006-09-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Craig M Bretz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Craig M Bretz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.

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