Anthony Todd Valleroy in Waterloo - Chiropractor

Anthony Todd Valleroy - NPI 1619099637

Anthony Todd Valleroy is a Chiropractor in Waterloo, Illinois. Anthony Todd Valleroy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Anthony Todd Valleroy is 1619099637. The last update date is 2007-07-08.

Anthony Todd Valleroy's current location address is 305 S Moore St Ste A, Waterloo, Illinois. You can contact this provider via phone number 6189394700 and fax number 6189395867. The mailing address for Anthony Todd Valleroy is 305 S Moore St Ste A, Waterloo, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Todd Valleroy
Address 305 S Moore St Ste A, Waterloo, Illinois
Phone Number 6189394700
Fax Number 6189395867
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1619099637
Provider Enumeration Date 2007-04-03
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 305 S Moore St Ste A
City Waterloo
State Illinois (IL)
Post Code 622981328
Phone Number 6189394700
Fax Number 6189395867

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 038-009945
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
5470950 IL CCN
199367 IL BCBS MISSOURI
6732010 IL BCBS ILLINOIS
2122751 IL FIRST HEALTH
611690 IL HEALTHLINK
655439 IL UNITED HEALTHCARE

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FAQs about Anthony Todd Valleroy

What is the unique identification code assigned to Anthony Todd Valleroy by the Centers for Medicare & Medicaid Services?

The Anthony Todd Valleroy has been issued the NPI (National Provider Identifier) 1619099637. 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 street address where Anthony Todd Valleroy is physically located?

The Anthony Todd Valleroy is physically situated at the following address: 305 S Moore St Ste A, Waterloo, IL, 622981328.

What is Anthony Todd Valleroy's specialized field of practice, and what is the corresponding taxonomy classification code?

The Anthony Todd Valleroy's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.

When was the Anthony Todd Valleroy's 1619099637 issued?

The Anthony Todd Valleroy's 1619099637 was issued on 2007-04-03.

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

The information related to Anthony Todd Valleroy, 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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