Brady Robert Dorn in Oconomowoc - Chiropractor
Brady Robert Dorn - NPI 1124170675
Brady Robert Dorn is a Chiropractor in Oconomowoc, Wisconsin. Brady Robert Dorn practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brady Robert Dorn is 1124170675. The last update date is 2022-10-12.
Brady Robert Dorn's current location address is 888 Thackeray Trl, Oconomowoc, Wisconsin. You can contact this provider via phone number 2625609600 and fax number 2625609599. The mailing address for Brady Robert Dorn is 888 Thackeray Trl, Oconomowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brady Robert Dorn |
|---|---|
| Address | 888 Thackeray Trl, Oconomowoc, Wisconsin |
| Phone Number | 2625609600 |
| Fax Number | 2625609599 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1124170675 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2022-10-12 |
Provider Mailing Address Detail
| Address | 888 Thackeray Trl |
|---|---|
| City | Oconomowoc |
| State | Wisconsin (WI) |
| Post Code | 530664342 |
| Phone Number | 2625609600 |
| Fax Number | 2625609599 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3622012 |
|
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 |
|---|---|---|---|
| 38933600 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Brady Robert Dorn by the Centers for Medicare & Medicaid Services?
The Brady Robert Dorn has been issued the NPI (National Provider Identifier) 1124170675 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Brady Robert Dorn?
The Brady Robert Dorn is physically situated at 888 Thackeray Trl, in the city of Oconomowoc, state of WI, with the postal code 530664342.
What is Brady Robert Dorn's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brady Robert Dorn is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date was the 1124170675 assigned to Brady Robert Dorn?
The Brady Robert Dorn was issued its 1124170675 on 2007-01-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Brady Robert Dorn most recently updated?
The details pertaining to the Brady Robert Dorn, including its address, specialty, and other relevant information, were last refreshed on 2022-10-12.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI