Bradley Jay Devereaux in Bountiful - Chiropractor

Bradley Jay Devereaux - NPI 1093919359

Bradley Jay Devereaux is a Chiropractor in Bountiful, Utah. Bradley Jay Devereaux practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Jay Devereaux is 1093919359. The last update date is 2007-07-08.

Bradley Jay Devereaux's current location address is 190 W 100 S, Bountiful, Utah. You can contact this provider via phone number 8012921111. The mailing address for Bradley Jay Devereaux is 190 W 100 S, Bountiful, Utah. To know further, please read the information below!

Provider Profile Detail

Provider Name Bradley Jay Devereaux
Address 190 W 100 S, Bountiful, Utah
Phone Number 8012921111
Fax Number
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1093919359
Provider Enumeration Date 2007-06-12
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 190 W 100 S
City Bountiful
State Utah (UT)
Post Code 840106205
Phone Number 8012921111
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 368851-1202
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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FAQs about Bradley Jay Devereaux

What is the unique identifier code issued to Bradley Jay Devereaux by the Centers for Medicare & Medicaid Services (CMS)?

The Bradley Jay Devereaux has been assigned the NPI (National Provider Identifier) 1093919359. 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 Bradley Jay Devereaux is geographically located?

The Bradley Jay Devereaux is physically situated at the following location: 190 W 100 S, Bountiful, UT, 840106205.

What is Bradley Jay Devereaux's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Bradley Jay Devereaux is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

When did Bradley Jay Devereaux receive its 1093919359 assignment?

The Bradley Jay Devereaux was assigned its 1093919359 on 2007-06-12, which is the date when this unique identifier was issued to the organization.

When was the information regarding Bradley Jay Devereaux most recently updated?

The details pertaining to the Bradley Jay Devereaux, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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