Thomas G Reardon D.C. P.S. in Renton - Chiropractor

Thomas G Reardon D.C. P.S. - NPI 1366591331

Thomas G Reardon D.C. P.S. is a Chiropractor in Renton, Washington. Thomas G Reardon D.C. P.S. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas G Reardon D.C. P.S. is 1366591331. The last update date is 2007-10-22.

Thomas G Reardon D.C. P.S.'s current location address is 1717 Ne 44th St, Renton, Washington. You can contact this provider via phone number 4252774098 and fax number 4252778239. The mailing address for Thomas G Reardon D.C. P.S. is 1717 Ne 44th St, Renton, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thomas G Reardon D.C. P.S.
Address 1717 Ne 44th St, Renton, Washington
Phone Number 4252774098
Fax Number 4252778239
Sole Proprietor --
Credentials --

Authorized Official

Title or Position P.S.
Authorized Official Name Reardon Thomas
Credentials D.C.
Telephone Number 4252774098

NPI Number Detail

NPI Number 1366591331
Provider Enumeration Date 2007-01-09
Last Updated Date 2007-10-22

Provider Mailing Address Detail

Address 1717 Ne 44th St
City Renton
State Washington (WA)
Post Code 980569001
Phone Number 4252774098
Fax Number 4252778239

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CH00002695
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
RE2839 WA REGENCE BLUE SHIELD
39743 WA DEP. OF L & I

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FAQs about Thomas G Reardon D.C. P.S.

What is the Thomas G Reardon D.C. P.S.'s 1366591331?

The Thomas G Reardon D.C. P.S.'s NPI (National Provider Identifier) Number is 1366591331. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Thomas G Reardon D.C. P.S.'s physical address?

The Thomas G Reardon D.C. P.S. is physically located at 1717 Ne 44Th St, in the city of Renton, WA, with the postal code 980569001.

What is Thomas G Reardon D.C. P.S.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Thomas G Reardon D.C. P.S. is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1366591331 to Thomas G Reardon D.C. P.S.?

The Thomas G Reardon D.C. P.S. received its 1366591331 assignment from the Centers for Medicare & Medicaid Services on 2007-01-09.

As of what date was the information regarding Thomas G Reardon D.C. P.S., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Thomas G Reardon D.C. P.S., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-22.

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