Bob Matthew Gountis in Wauwatosa - Chiropractor
Bob Matthew Gountis - NPI 1477607612
Bob Matthew Gountis is a Chiropractor in Wauwatosa, Wisconsin. Bob Matthew Gountis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bob Matthew Gountis is 1477607612. The last update date is 2010-11-04.
Bob Matthew Gountis's current location address is 1033 N Mayfair Rd, Wauwatosa, Wisconsin. You can contact this provider via phone number 4147781455 and fax number 4148104052. The mailing address for Bob Matthew Gountis is 1033 N Mayfair Rd, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bob Matthew Gountis |
|---|---|
| Address | 1033 N Mayfair Rd, Wauwatosa, Wisconsin |
| Phone Number | 4147781455 |
| Fax Number | 4148104052 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1477607612 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2010-11-04 |
Provider Mailing Address Detail
| Address | 1033 N Mayfair Rd |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532263442 |
| Phone Number | 4147781455 |
| Fax Number | 4148104052 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3517-012 |
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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 10-digit identifier code assigned to Bob Matthew Gountis by the Centers for Medicare & Medicaid Services?
The Bob Matthew Gountis has been issued the NPI (National Provider Identifier) 1477607612 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Bob Matthew Gountis is physically located?
The Bob Matthew Gountis is physically situated at the following address: 1033 N Mayfair Rd, Wauwatosa, WI, 532263442.
What is Bob Matthew Gountis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bob Matthew Gountis's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1477607612 to Bob Matthew Gountis?
The Centers for Medicare & Medicaid Services assigned the 1477607612 to Bob Matthew Gountis on 2007-01-23.
As of what date was the information pertaining to Bob Matthew Gountis, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bob Matthew Gountis, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-11-04.
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