Domonique M Detrick in Greensburg - Chiropractor
Domonique M Detrick - NPI 1801872999
Domonique M Detrick is a Chiropractor in Greensburg, Pennsylvania. Domonique M Detrick practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Domonique M Detrick is 1801872999. The last update date is 2007-07-08.
Domonique M Detrick's current location address is 125 E Otterman St, Greensburg, Pennsylvania. You can contact this provider via phone number 7248387700 and fax number 7248387200. The mailing address for Domonique M Detrick is 125 E Otterman St, Greensburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Domonique M Detrick |
|---|---|
| Address | 125 E Otterman St, Greensburg, Pennsylvania |
| Phone Number | 7248387700 |
| Fax Number | 7248387200 |
| Sole Proprietor | X |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1801872999 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 125 E Otterman St |
|---|---|
| City | Greensburg |
| State | Pennsylvania (PA) |
| Post Code | 156012509 |
| Phone Number | 7248387700 |
| Fax Number | 7248387200 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC007066L |
|
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 |
|---|---|---|---|
| 1664678 | PA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Domonique M Detrick by the Centers for Medicare & Medicaid Services (CMS)?
The Domonique M Detrick has been assigned the NPI (National Provider Identifier) 1801872999. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Domonique M Detrick is geographically located?
The Domonique M Detrick is physically situated at the following location: 125 E Otterman St, Greensburg, PA, 156012509.
What is Domonique M Detrick's area of expertise and its corresponding taxonomy classification?
The Domonique M Detrick's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801872999 to Domonique M Detrick?
The Centers for Medicare & Medicaid Services originally issued the 1801872999 to Domonique M Detrick on 2005-12-20.
As of what date was the information regarding Domonique M Detrick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Domonique M Detrick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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