Matthew Earl Labertew in Vandalia - Chiropractor
Matthew Earl Labertew - NPI 1699702589
Matthew Earl Labertew is a Chiropractor in Vandalia, Illinois. Matthew Earl Labertew practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Matthew Earl Labertew is 1699702589. The last update date is 2007-12-12.
Matthew Earl Labertew's current location address is 825 New York Dr Ste 1, Vandalia, Illinois. You can contact this provider via phone number 6182832230 and fax number 6182831868. The mailing address for Matthew Earl Labertew is 825 New York Dr Ste 1, Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Matthew Earl Labertew |
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Address | 825 New York Dr Ste 1, Vandalia, Illinois |
Phone Number | 6182832230 |
Fax Number | 6182831868 |
Sole Proprietor | Y |
Credentials | DC |
NPI Number Detail
NPI Number | 1699702589 |
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Provider Enumeration Date | 2006-06-27 |
Last Updated Date | 2007-12-12 |
Provider Mailing Address Detail
Address | 825 New York Dr Ste 1 |
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City | Vandalia |
State | Illinois (IL) |
Post Code | 624711044 |
Phone Number | 6182832230 |
Fax Number | 6182831868 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38008755 |
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 |
---|---|---|---|
416040 | IL | HEALTHLINK | |
7815199 | IL | AETNA | |
6025820 | IL | BCBS | |
38008755 | IL | -- |
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What is the unique 10-digit identifier code assigned to Matthew Earl Labertew by the Centers for Medicare & Medicaid Services?
The Matthew Earl Labertew has been issued the NPI (National Provider Identifier) 1699702589 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Matthew Earl Labertew's physical address?
The Matthew Earl Labertew is physically located at 825 New York Dr Ste 1, in the city of Vandalia, IL, with the postal code 624711044.
What is the area of specialization for Matthew Earl Labertew, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Matthew Earl Labertew is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Matthew Earl Labertew receive its 1699702589 assignment from the Centers for Medicare & Medicaid Services?
The Matthew Earl Labertew was assigned its 1699702589 on 2006-06-27, 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 regarding Matthew Earl Labertew, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew Earl Labertew, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-12.