Caleb Ultimo in Brockton - Chiropractor

Caleb Ultimo - NPI 1679600100

Caleb Ultimo is a Chiropractor in Brockton, Massachusetts. Caleb Ultimo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Caleb Ultimo is 1679600100. The last update date is 2008-12-22.

Caleb Ultimo's current location address is 263 Main St, Brockton, Massachusetts. You can contact this provider via phone number 5085887100 and fax number 5085887101. The mailing address for Caleb Ultimo is 263 Main St, Brockton, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Caleb Ultimo
Address 263 Main St, Brockton, Massachusetts
Phone Number 5085887100
Fax Number 5085887101
Sole Proprietor N
Credentials D.C

NPI Number Detail

NPI Number 1679600100
Provider Enumeration Date 2007-02-28
Last Updated Date 2008-12-22

Provider Mailing Address Detail

Address 263 Main St
City Brockton
State Massachusetts (MA)
Post Code 23015325
Phone Number 5085887100
Fax Number 5085887101

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 3095
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
7753977 MA AETNA
Y37176 MA BLUE CROSS BLUE SHIELD

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FAQs about Caleb Ultimo

What is the unique 10-digit identification code issued to Caleb Ultimo by the Centers for Medicare & Medicaid Services?

The Caleb Ultimo has been assigned the NPI (National Provider Identifier) 1679600100 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Caleb Ultimo?

The Caleb Ultimo is situated at 263 Main St, in the city of Brockton, state of MA, with the zip code 23015325.

What is the Caleb Ultimo's specialty and taxonomy code?

The Caleb Ultimo's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1679600100 to Caleb Ultimo?

The Centers for Medicare & Medicaid Services assigned the 1679600100 to Caleb Ultimo on 2007-02-28.

As of what date was the information pertaining to Caleb Ultimo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Caleb Ultimo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-12-22.

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