Bruce Douglas Mikota in Gaffney - Chiropractor
Bruce Douglas Mikota - NPI 1831126606
Bruce Douglas Mikota is a Chiropractor in Gaffney, South Carolina. Bruce Douglas Mikota practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bruce Douglas Mikota is 1831126606. The last update date is 2007-07-08.
Bruce Douglas Mikota's current location address is 111 West Rutledge Avenue, Gaffney, South Carolina. You can contact this provider via phone number 8644892444 and fax number 8644896948. The mailing address for Bruce Douglas Mikota is 111 West Rutledge Avenue, Gaffney, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Douglas Mikota |
|---|---|
| Address | 111 West Rutledge Avenue, Gaffney, South Carolina |
| Phone Number | 8644892444 |
| Fax Number | 8644896948 |
| Sole Proprietor | Y |
| Credentials | DC CCSP |
NPI Number Detail
| NPI Number | 1831126606 |
|---|---|
| Provider Enumeration Date | 2006-06-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 West Rutledge Avenue |
|---|---|
| City | Gaffney |
| State | South Carolina (SC) |
| Post Code | 29340 |
| Phone Number | 8644892444 |
| Fax Number | 8644896948 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 697 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CHO697 | SC | -- |
Post Comment/ Review Below
What is the Bruce Douglas Mikota's unique identification number?
The Bruce Douglas Mikota has been assigned the NPI (National Provider Identifier) Number 1831126606 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Bruce Douglas Mikota?
The Bruce Douglas Mikota is physically situated at 111 West Rutledge Avenue, in the city of Gaffney, state of SC, with the postal code 29340.
What is the area of specialization for Bruce Douglas Mikota, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Bruce Douglas Mikota is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Bruce Douglas Mikota receive its 1831126606 assignment from the Centers for Medicare & Medicaid Services?
The Bruce Douglas Mikota was assigned its 1831126606 by the Centers for Medicare & Medicaid Services on 2006-06-27.
When was the information regarding Bruce Douglas Mikota, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce Douglas Mikota, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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