Gregg Allen Medeiros in Providence - Chiropractor

Gregg Allen Medeiros - NPI 1568545580

Gregg Allen Medeiros is a Chiropractor in Providence, Rhode Island. Gregg Allen Medeiros practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregg Allen Medeiros is 1568545580. The last update date is 2012-05-23.

Gregg Allen Medeiros's current location address is 1196 Elmwood Ave, Providence, Rhode Island. You can contact this provider via phone number 4014611600 and fax number 4014613500. The mailing address for Gregg Allen Medeiros is 1196 Elmwood Ave, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Gregg Allen Medeiros
Address 1196 Elmwood Ave, Providence, Rhode Island
Phone Number 4014611600
Fax Number 4014613500
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1568545580
Provider Enumeration Date 2006-10-23
Last Updated Date 2012-05-23

Provider Mailing Address Detail

Address 1196 Elmwood Ave
City Providence
State Rhode Island (RI)
Post Code 29073716
Phone Number 4014611600
Fax Number 4014613500

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DCP00545
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
24812 RI MEDICARE PTAN

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FAQs about Gregg Allen Medeiros

What is the unique 10-digit identification code assigned to Gregg Allen Medeiros by the Centers for Medicare & Medicaid Services?

The Gregg Allen Medeiros has been issued the NPI (National Provider Identifier) 1568545580, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gregg Allen Medeiros is geographically located?

The Gregg Allen Medeiros is physically situated at the following location: 1196 Elmwood Ave, Providence, RI, 29073716.

What is Gregg Allen Medeiros's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Gregg Allen Medeiros is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the Gregg Allen Medeiros receive the assignment of its 1568545580 from the Centers for Medicare & Medicaid Services?

The Gregg Allen Medeiros was issued its 1568545580 by the Centers for Medicare & Medicaid Services on 2006-10-23.

When was the Gregg Allen Medeiros's information last updated?

The Gregg Allen Medeiros's information was last updated on 2012-05-23.

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