Keith Legrand Bergeson in Friendswood - Chiropractor
Keith Legrand Bergeson - NPI 1194853820
Keith Legrand Bergeson is a Chiropractor in Friendswood, Texas. Keith Legrand Bergeson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Keith Legrand Bergeson is 1194853820. The last update date is 2007-07-08.
Keith Legrand Bergeson's current location address is 351 E Parkwood Ave, Friendswood, Texas. You can contact this provider via phone number 2819922225 and fax number 2819923785. The mailing address for Keith Legrand Bergeson is 351 E Parkwood Ave, Friendswood, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Legrand Bergeson |
|---|---|
| Address | 351 E Parkwood Ave, Friendswood, Texas |
| Phone Number | 2819922225 |
| Fax Number | 2819923785 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1194853820 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 351 E Parkwood Ave |
|---|---|
| City | Friendswood |
| State | Texas (TX) |
| Post Code | 775465147 |
| Phone Number | 2819922225 |
| Fax Number | 2819923785 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5413 |
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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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What is the unique 10-digit identification code assigned to Keith Legrand Bergeson by the Centers for Medicare & Medicaid Services?
The Keith Legrand Bergeson has been issued the NPI (National Provider Identifier) 1194853820, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Keith Legrand Bergeson located?
The Keith Legrand Bergeson is located at 351 E Parkwood Ave, Friendswood, TX 775465147.
What is the Keith Legrand Bergeson's specialty and taxonomy code?
The Keith Legrand Bergeson's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Keith Legrand Bergeson receive the assignment of its 1194853820 from the Centers for Medicare & Medicaid Services?
The Keith Legrand Bergeson was issued its 1194853820 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the Keith Legrand Bergeson's information last updated?
The Keith Legrand Bergeson's information was last updated on 2007-07-08.
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