Jeffry Vincent Popham in Liberty Hill - Chiropractor

Jeffry Vincent Popham - NPI 1083766919

Jeffry Vincent Popham is a Chiropractor in Liberty Hill, Texas. Jeffry Vincent Popham practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffry Vincent Popham is 1083766919. The last update date is 2009-04-03.

Jeffry Vincent Popham's current location address is Po Box 37, Liberty Hill, Texas. You can contact this provider via phone number 5127785500 and fax number 5127785500. The mailing address for Jeffry Vincent Popham is Po Box 37, Liberty Hill, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffry Vincent Popham
Address Po Box 37, Liberty Hill, Texas
Phone Number 5127785500
Fax Number 5127785500
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1083766919
Provider Enumeration Date 2007-01-18
Last Updated Date 2009-04-03

Provider Mailing Address Detail

Address Po Box 37
City Liberty Hill
State Texas (TX)
Post Code 786420037
Phone Number 5127785500
Fax Number 5127785500

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC4366
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
601658 TX BLUE CROSS BLUE SHIELD #

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FAQs about Jeffry Vincent Popham

What is the unique 10-digit identifier code assigned to Jeffry Vincent Popham by the Centers for Medicare & Medicaid Services?

The Jeffry Vincent Popham has been issued the NPI (National Provider Identifier) 1083766919 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Jeffry Vincent Popham's facilities are geographically located?

The facilities of Jeffry Vincent Popham are physically situated at the following location: Po Box 37, Liberty Hill, TX, 786420037.

What is the Jeffry Vincent Popham's specialty and taxonomy code?

The Jeffry Vincent Popham's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date was the 1083766919 assigned to Jeffry Vincent Popham?

The Jeffry Vincent Popham was issued its 1083766919 on 2007-01-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Jeffry Vincent Popham, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jeffry Vincent Popham, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-03.

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