Bradley Garrett Fairman in Berlin - Chiropractor

Bradley Garrett Fairman - NPI 1104956986

Bradley Garrett Fairman is a Chiropractor in Berlin, Pennsylvania. Bradley Garrett Fairman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Garrett Fairman is 1104956986. The last update date is 2014-10-09.

Bradley Garrett Fairman's current location address is 537 Main St, Berlin, Pennsylvania. You can contact this provider via phone number 8142676440 and fax number 8142676442. The mailing address for Bradley Garrett Fairman is 537 Main St, Berlin, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Garrett Fairman
Address 537 Main St, Berlin, Pennsylvania
Phone Number 8142676440
Fax Number 8142676442
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1104956986
Provider Enumeration Date 2007-03-07
Last Updated Date 2014-10-09

Provider Mailing Address Detail

Address 537 Main St
City Berlin
State Pennsylvania (PA)
Post Code 155301344
Phone Number 8142676440
Fax Number 8142676442

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC009285
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
1666144 PA HIGHMARK PROVIDER ID

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FAQs about Bradley Garrett Fairman

What is the unique 10-digit identification code assigned to Bradley Garrett Fairman by the Centers for Medicare & Medicaid Services?

The Bradley Garrett Fairman has been issued the NPI (National Provider Identifier) 1104956986, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Bradley Garrett Fairman?

The Bradley Garrett Fairman is physically situated at 537 Main St, in the city of Berlin, state of PA, with the postal code 155301344.

What is Bradley Garrett Fairman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bradley Garrett Fairman's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Bradley Garrett Fairman receive the assignment of its 1104956986 from the Centers for Medicare & Medicaid Services?

The Bradley Garrett Fairman was issued its 1104956986 by the Centers for Medicare & Medicaid Services on 2007-03-07.

As of what date were the details pertaining to Bradley Garrett Fairman last refreshed?

The information related to the Bradley Garrett Fairman, including its address, specialty, and other relevant details, was last updated on 2014-10-09.

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