Pain Relief Center Of Vandalia Inc in Vandalia - Chiropractor
Pain Relief Center Of Vandalia Inc - NPI 1588773089
Pain Relief Center Of Vandalia Inc is a Chiropractor in Vandalia, Illinois. Pain Relief Center Of Vandalia Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Pain Relief Center Of Vandalia Inc is 1588773089. The last update date is 2015-06-19.
Pain Relief Center Of Vandalia Inc's current location address is 100 N Kennedy Blvd, Vandalia, Illinois. You can contact this provider via phone number 6182831100 and fax number 6182831101. The mailing address for Pain Relief Center Of Vandalia Inc is 100 N Kennedy Blvd, Vandalia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pain Relief Center Of Vandalia Inc |
|---|---|
| Address | 100 N Kennedy Blvd, Vandalia, Illinois |
| Phone Number | 6182831100 |
| Fax Number | 6182831101 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OF |
|---|---|
| Authorized Official Name | Clark Ryan Jeremy |
| Credentials | DC |
| Telephone Number | 6182831100 |
NPI Number Detail
| NPI Number | 1588773089 |
|---|---|
| Provider Enumeration Date | 2006-08-29 |
| Last Updated Date | 2015-06-19 |
Provider Mailing Address Detail
| Address | 100 N Kennedy Blvd |
|---|---|
| City | Vandalia |
| State | Illinois (IL) |
| Post Code | 62471 |
| Phone Number | 6182831100 |
| Fax Number | 6182831101 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38009768 |
|
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 |
|---|---|---|---|
| 2632010 | IL | BCBS | |
| 539980 | IL | HL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pain Relief Center Of Vandalia Inc by the Centers for Medicare & Medicaid Services?
The Pain Relief Center Of Vandalia Inc has been issued the NPI (National Provider Identifier) 1588773089 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Pain Relief Center Of Vandalia Inc?
The Pain Relief Center Of Vandalia Inc is situated at 100 N Kennedy Blvd, in the city of Vandalia, state of IL, with the zip code 62471.
What is Pain Relief Center Of Vandalia Inc's area of expertise and its corresponding taxonomy classification?
The Pain Relief Center Of Vandalia Inc's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Pain Relief Center Of Vandalia Inc receive the assignment of its 1588773089 from the Centers for Medicare & Medicaid Services?
The Pain Relief Center Of Vandalia Inc was issued its 1588773089 by the Centers for Medicare & Medicaid Services on 2006-08-29.
As of what date was the information pertaining to Pain Relief Center Of Vandalia Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Pain Relief Center Of Vandalia Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-06-19.