Steven K. Gautreau in Hawthorne - Sports Physician

Steven K. Gautreau - NPI 1598833584

Steven K. Gautreau is a Sports Physician in Hawthorne, California. Steven K. Gautreau practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Steven K. Gautreau is 1598833584. The last update date is 2007-07-08.

Steven K. Gautreau's current location address is 14650 Aviation Blvd., Suite 225, Hawthorne, California. You can contact this provider via phone number 3105369996 and fax number 3105369997. The mailing address for Steven K. Gautreau is 14650 Aviation Blvd., Suite 225, Hawthorne, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Steven K. Gautreau
Address 14650 Aviation Blvd., Suite 225, Hawthorne, California
Phone Number 3105369996
Fax Number 3105369997
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1598833584
Provider Enumeration Date 2006-11-30
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 14650 Aviation Blvd., Suite 225
City Hawthorne
State California (CA)
Post Code 902506656
Phone Number 3105369996
Fax Number 3105369997

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No DC 29053
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

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FAQs about Steven K. Gautreau

What is the unique identifier code issued to Steven K. Gautreau by the Centers for Medicare & Medicaid Services?

The Steven K. Gautreau has been assigned the NPI (National Provider Identifier) 1598833584. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Steven K. Gautreau's facilities are situated?

The facilities of Steven K. Gautreau are physically located at the following address: 14650 Aviation Blvd., Suite 225, Hawthorne, CA, 902506656.

What is Steven K. Gautreau's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Steven K. Gautreau is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.

On what date did the Steven K. Gautreau receive its 1598833584 assignment from the Centers for Medicare & Medicaid Services?

The Steven K. Gautreau was assigned its 1598833584 by the Centers for Medicare & Medicaid Services on 2006-11-30.

As of what date were the Steven K. Gautreau's details last updated?

The information pertaining to the Steven K. Gautreau, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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