Bradley Allen Kothlow in Balsam Lake - Chiropractor
Bradley Allen Kothlow - NPI 1447335609
Bradley Allen Kothlow is a Chiropractor in Balsam Lake, Wisconsin. Bradley Allen Kothlow practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Allen Kothlow is 1447335609. The last update date is 2007-07-08.
Bradley Allen Kothlow's current location address is 138 Pleasant Ave, Balsam Lake, Wisconsin. You can contact this provider via phone number 7154859352. The mailing address for Bradley Allen Kothlow is 138 Pleasant Ave, Balsam Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Allen Kothlow |
|---|---|
| Address | 138 Pleasant Ave, Balsam Lake, Wisconsin |
| Phone Number | 7154859352 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1447335609 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 138 Pleasant Ave |
|---|---|
| City | Balsam Lake |
| State | Wisconsin (WI) |
| Post Code | 548109019 |
| Phone Number | 7154859352 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2016012 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38789500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Bradley Allen Kothlow by the Centers for Medicare & Medicaid Services?
The Bradley Allen Kothlow has been issued the NPI (National Provider Identifier) 1447335609 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 Bradley Allen Kothlow's facilities are geographically located?
The facilities of Bradley Allen Kothlow are physically situated at the following location: 138 Pleasant Ave, Balsam Lake, WI, 548109019.
What is Bradley Allen Kothlow's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bradley Allen Kothlow is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Bradley Allen Kothlow receive the assignment of its 1447335609 from the Centers for Medicare & Medicaid Services?
The Bradley Allen Kothlow was issued its 1447335609 by the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date were the Bradley Allen Kothlow's details last updated?
The information pertaining to the Bradley Allen Kothlow, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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