Barry John Kotheimer in Chardon - Chiropractor
Barry John Kotheimer - NPI 1376615955
Barry John Kotheimer is a Chiropractor in Chardon, Ohio. Barry John Kotheimer practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Barry John Kotheimer is 1376615955. The last update date is 2007-07-08.
Barry John Kotheimer's current location address is 102 E Park St, Chardon, Ohio. You can contact this provider via phone number 4402862225 and fax number 4402863058. The mailing address for Barry John Kotheimer is 102 E Park St, Chardon, Ohio. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Barry John Kotheimer |
|---|---|
| Address | 102 E Park St, Chardon, Ohio |
| Phone Number | 4402862225 |
| Fax Number | 4402863058 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1376615955 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 E Park St |
|---|---|
| City | Chardon |
| State | Ohio (OH) |
| Post Code | 44024 |
| Phone Number | 4402862225 |
| Fax Number | 4402863058 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1511 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 759479 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Barry John Kotheimer by the Centers for Medicare & Medicaid Services?
The Barry John Kotheimer has been issued the NPI (National Provider Identifier) 1376615955 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Barry John Kotheimer?
The Barry John Kotheimer is situated at 102 E Park St, in the city of Chardon, state of OH, with the zip code 44024.
What is Barry John Kotheimer's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Barry John Kotheimer is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Barry John Kotheimer receive the assignment of its 1376615955 from the Centers for Medicare & Medicaid Services?
The Barry John Kotheimer was issued its 1376615955 by the Centers for Medicare & Medicaid Services on 2006-11-15.
As of what date were the Barry John Kotheimer's details last updated?
The information pertaining to the Barry John Kotheimer, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1528061793
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