Central Chiropractic Clinic in Bastrop - Chiropractor
Central Chiropractic Clinic - NPI 1790883783
Central Chiropractic Clinic is a Chiropractor in Bastrop, Louisiana. Central Chiropractic Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Central Chiropractic Clinic is 1790883783. The last update date is 2007-11-08.
Central Chiropractic Clinic's current location address is Po Box 1462, Bastrop, Louisiana. You can contact this provider via phone number 3182810550 and fax number 3182831883. The mailing address for Central Chiropractic Clinic is Po Box 1462, Bastrop, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Chiropractic Clinic |
|---|---|
| Address | Po Box 1462, Bastrop, Louisiana |
| Phone Number | 3182810550 |
| Fax Number | 3182831883 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hawthorne Blake Randle |
| Credentials | DC |
| Telephone Number | 3182810550 |
NPI Number Detail
| NPI Number | 1790883783 |
|---|---|
| Provider Enumeration Date | 2006-09-21 |
| Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
| Address | Po Box 1462 |
|---|---|
| City | Bastrop |
| State | Louisiana (LA) |
| Post Code | 712211462 |
| Phone Number | 3182810550 |
| Fax Number | 3182831883 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 293 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1935395 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Central Chiropractic Clinic by the Centers for Medicare & Medicaid Services?
The Central Chiropractic Clinic has been assigned the NPI (National Provider Identifier) 1790883783 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Central Chiropractic Clinic located?
The Central Chiropractic Clinic is located at Po Box 1462, Bastrop, LA 712211462.
What is Central Chiropractic Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Chiropractic Clinic is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did Central Chiropractic Clinic receive its 1790883783 assignment from the Centers for Medicare & Medicaid Services?
The Central Chiropractic Clinic was assigned its 1790883783 on 2006-09-21, 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 Central Chiropractic Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Central Chiropractic Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-08.
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