Jeffery Blake Pitman in Benton - Chiropractor

Jeffery Blake Pitman - NPI 1922008911

Jeffery Blake Pitman is a Chiropractor in Benton, Kentucky. Jeffery Blake Pitman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffery Blake Pitman is 1922008911. The last update date is 2007-07-08.

Jeffery Blake Pitman's current location address is 1201 Birch St, Benton, Kentucky. You can contact this provider via phone number 2705275898 and fax number 2705275898. The mailing address for Jeffery Blake Pitman is 1201 Birch St, Benton, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffery Blake Pitman
Address 1201 Birch St, Benton, Kentucky
Phone Number 2705275898
Fax Number 2705275898
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1922008911
Provider Enumeration Date 2005-07-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1201 Birch St
City Benton
State Kentucky (KY)
Post Code 420251549
Phone Number 2705275898
Fax Number 2705275898

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4172
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
50197 KY ANTHEM
85002517 KY --
607460 KY ACN

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FAQs about Jeffery Blake Pitman

What is the unique 10-digit identifier code issued to Jeffery Blake Pitman by the Centers for Medicare & Medicaid Services?

The Jeffery Blake Pitman has been assigned the NPI (National Provider Identifier) 1922008911 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Jeffery Blake Pitman is located?

The Jeffery Blake Pitman is situated at the following address: 1201 Birch St, Benton, KY, 420251549.

What is Jeffery Blake Pitman's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffery Blake Pitman is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.

On what date was the 1922008911 assigned to Jeffery Blake Pitman?

The Jeffery Blake Pitman was issued its 1922008911 on 2005-07-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

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

The information related to Jeffery Blake Pitman, 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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