Kevin C Teagle is a Chiropractor in Grants Pass, Oregon. Kevin C Teagle practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kevin C Teagle is 1275680175. The last update date is 2009-04-09.
Kevin C Teagle's current location address is 1829 Nebraska Ave, Grants Pass, Oregon. You can contact this provider via phone number 5414742225 and fax number 5414742229. The mailing address for Kevin C Teagle is 1829 Nebraska Ave, Grants Pass, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin C Teagle |
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Address | 1829 Nebraska Ave, Grants Pass, Oregon |
Phone Number | 5414742225 |
Fax Number | 5414742229 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1275680175 |
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Provider Enumeration Date | 2007-01-04 |
Last Updated Date | 2009-04-09 |
Provider Mailing Address Detail
Address | 1829 Nebraska Ave |
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City | Grants Pass |
State | Oregon (OR) |
Post Code | 975275701 |
Phone Number | 5414742225 |
Fax Number | 5414742229 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 3232 |
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 |
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3232 | OR | STATE LICENSE # | |
93-1325306 | OR | TAX ID # |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kevin C Teagle by the Centers for Medicare & Medicaid Services?
The Kevin C Teagle has been issued the NPI (National Provider Identifier) 1275680175 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kevin C Teagle's facilities are situated?
The facilities of Kevin C Teagle are physically located at the following address: 1829 Nebraska Ave, Grants Pass, OR, 975275701.
What is the area of specialization for Kevin C Teagle, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin C Teagle is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Kevin C Teagle receive its 1275680175 assignment from the Centers for Medicare & Medicaid Services?
The Kevin C Teagle was assigned its 1275680175 by the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information pertaining to Kevin C Teagle most recently updated or revised?
The details related to Kevin C Teagle, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-09.