Gregory Lewis Haddock in Salt Lake City - Chiropractor
Gregory Lewis Haddock - NPI 1679775563
Gregory Lewis Haddock is a Chiropractor in Salt Lake City, Utah. Gregory Lewis Haddock practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Gregory Lewis Haddock is 1679775563. The last update date is 2007-07-09.
Gregory Lewis Haddock's current location address is 715 E 3900 S, Salt Lake City, Utah. You can contact this provider via phone number 8012684993. The mailing address for Gregory Lewis Haddock is 715 E 3900 S, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Lewis Haddock |
|---|---|
| Address | 715 E 3900 S, Salt Lake City, Utah |
| Phone Number | 8012684993 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1679775563 |
|---|---|
| Provider Enumeration Date | 2007-06-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 715 E 3900 S |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841072182 |
| Phone Number | 8012684993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5770376-1202 |
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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 identifier code issued to Gregory Lewis Haddock by the Centers for Medicare & Medicaid Services?
The Gregory Lewis Haddock has been assigned the NPI (National Provider Identifier) 1679775563. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory Lewis Haddock is physically located?
The Gregory Lewis Haddock is physically situated at the following address: 715 E 3900 S, Salt Lake City, UT, 841072182.
What is the Gregory Lewis Haddock's specialty and taxonomy code?
The Gregory Lewis Haddock's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Gregory Lewis Haddock receive the assignment of its 1679775563 from the Centers for Medicare & Medicaid Services?
The Gregory Lewis Haddock was issued its 1679775563 by the Centers for Medicare & Medicaid Services on 2007-06-03.
As of what date were the Gregory Lewis Haddock's details last updated?
The information pertaining to the Gregory Lewis Haddock, including its address, specialty, and other details, was most recently updated on 2007-07-09.