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 |
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Address | 537 Main St, Berlin, Pennsylvania |
Phone Number | 8142676440 |
Fax Number | 8142676442 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1104956986 |
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Provider Enumeration Date | 2007-03-07 |
Last Updated Date | 2014-10-09 |
Provider Mailing Address Detail
Address | 537 Main St |
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City | Berlin |
State | Pennsylvania (PA) |
Post Code | 155301344 |
Phone Number | 8142676440 |
Fax Number | 8142676442 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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 |
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1666144 | PA | HIGHMARK PROVIDER ID |
Post Comment/ Review Below
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.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY