Glen Thomas Leake in Stanfordville - Chiropractor
Glen Thomas Leake - NPI 1376751032
Glen Thomas Leake is a Chiropractor in Stanfordville, New York. Glen Thomas Leake practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glen Thomas Leake is 1376751032. The last update date is 2007-07-08.
Glen Thomas Leake's current location address is 192 Hunns Lake Rd, Stanfordville, New York. You can contact this provider via phone number 8458681518. The mailing address for Glen Thomas Leake is 192 Hunns Lake Rd, Stanfordville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Thomas Leake |
|---|---|
| Address | 192 Hunns Lake Rd, Stanfordville, New York |
| Phone Number | 8458681518 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1376751032 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 192 Hunns Lake Rd |
|---|---|
| City | Stanfordville |
| State | New York (NY) |
| Post Code | 125815510 |
| Phone Number | 8458681518 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | X010969-1 |
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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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What is the unique identification code assigned to Glen Thomas Leake by the Centers for Medicare & Medicaid Services?
The Glen Thomas Leake has been issued the NPI (National Provider Identifier) 1376751032. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Glen Thomas Leake is located?
The Glen Thomas Leake is situated at the following address: 192 Hunns Lake Rd, Stanfordville, NY, 125815510.
What is Glen Thomas Leake's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Glen Thomas Leake is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
When was the Glen Thomas Leake's 1376751032 issued?
The Glen Thomas Leake's 1376751032 was issued on 2007-05-18.
When was the Glen Thomas Leake's information last updated?
The Glen Thomas Leake's information was last updated on 2007-07-08.
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