Bryan R Gerondale in Glendale - Chiropractor
Bryan R Gerondale - NPI 1598852147
Bryan R Gerondale is a Chiropractor in Glendale, Wisconsin. Bryan R Gerondale practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bryan R Gerondale is 1598852147. The last update date is 2017-04-04.
Bryan R Gerondale's current location address is 5306 N Port Washington Rd, Glendale, Wisconsin. You can contact this provider via phone number 4143320859 and fax number 4143323991. The mailing address for Bryan R Gerondale is 5306 N Port Washington Rd, Glendale, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Bryan R Gerondale |
---|---|
Address | 5306 N Port Washington Rd, Glendale, Wisconsin |
Phone Number | 4143320859 |
Fax Number | 4143323991 |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1598852147 |
---|---|
Provider Enumeration Date | 2006-10-06 |
Last Updated Date | 2017-04-04 |
Provider Mailing Address Detail
Address | 5306 N Port Washington Rd |
---|---|
City | Glendale |
State | Wisconsin (WI) |
Post Code | 532174913 |
Phone Number | 4143320859 |
Fax Number | 4143323991 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
---|---|
Taxonomy | 111N00000X |
Licence No | 1776-12 |
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 |
---|---|---|---|
38776000 | WI | -- |
Post Comment/ Review Below
What is the Bryan R Gerondale's 1598852147?
The Bryan R Gerondale's NPI (National Provider Identifier) Number is 1598852147. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Bryan R Gerondale is geographically located?
The Bryan R Gerondale is physically situated at the following location: 5306 N Port Washington Rd, Glendale, WI, 532174913.
What is Bryan R Gerondale's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bryan R Gerondale's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Bryan R Gerondale receive its 1598852147 assignment?
The Bryan R Gerondale was assigned its 1598852147 on 2006-10-06, which is the date when this unique identifier was issued to the organization.
When was the information related to Bryan R Gerondale most recently updated or refreshed?
The details pertaining to the Bryan R Gerondale, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-04-04.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC