Bradham Chiropractic Clinic, Pa in Erwin - Chiropractor
Bradham Chiropractic Clinic, Pa - NPI 1578658514
Bradham Chiropractic Clinic, Pa is a Chiropractor in Erwin, North Carolina. Bradham Chiropractic Clinic, Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradham Chiropractic Clinic, Pa is 1578658514. The last update date is 2020-08-22.
Bradham Chiropractic Clinic, Pa's current location address is 407-k East Jackson Blvd., Erwin, North Carolina. You can contact this provider via phone number 9108921119. The mailing address for Bradham Chiropractic Clinic, Pa is 407-k East Jackson Blvd., Erwin, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradham Chiropractic Clinic, Pa |
|---|---|
| Address | 407-k East Jackson Blvd., Erwin, North Carolina |
| Phone Number | 9108921119 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Bradham L David |
| Credentials | D.C. |
| Telephone Number | 9108921119 |
NPI Number Detail
| NPI Number | 1578658514 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 407-k East Jackson Blvd. |
|---|---|
| City | Erwin |
| State | North Carolina (NC) |
| Post Code | 283399628 |
| Phone Number | 9108921119 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2481 |
|
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 |
|---|---|---|---|
| 8902671 | NC | -- |
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What is the Bradham Chiropractic Clinic, Pa's 1578658514?
The Bradham Chiropractic Clinic, Pa's NPI (National Provider Identifier) Number is 1578658514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bradham Chiropractic Clinic, Pa is geographically located?
The Bradham Chiropractic Clinic, Pa is physically situated at the following location: 407-K East Jackson Blvd., Erwin, NC, 283399628.
What is the Bradham Chiropractic Clinic, Pa's specialty and taxonomy code?
The Bradham Chiropractic Clinic, Pa's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1578658514 to Bradham Chiropractic Clinic, Pa?
The Centers for Medicare & Medicaid Services originally issued the 1578658514 to Bradham Chiropractic Clinic, Pa on 2006-10-04.
As of what date were the Bradham Chiropractic Clinic, Pa's details last updated?
The information pertaining to the Bradham Chiropractic Clinic, Pa, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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