Bradley Keith Virgin in Litchfield - Sports Physician
Bradley Keith Virgin - NPI 1871664219
Bradley Keith Virgin is a Sports Physician in Litchfield, Illinois. Bradley Keith Virgin practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Bradley Keith Virgin is 1871664219. The last update date is 2007-11-09.
Bradley Keith Virgin's current location address is 311 E Union Ave, Litchfield, Illinois. You can contact this provider via phone number 2173242377 and fax number 2173242377. The mailing address for Bradley Keith Virgin is 311 E Union Ave, Litchfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Keith Virgin |
|---|---|
| Address | 311 E Union Ave, Litchfield, Illinois |
| Phone Number | 2173242377 |
| Fax Number | 2173242377 |
| Sole Proprietor | Y |
| Credentials | D.C.,CCSP |
NPI Number Detail
| NPI Number | 1871664219 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-11-09 |
Provider Mailing Address Detail
| Address | 311 E Union Ave |
|---|---|
| City | Litchfield |
| State | Illinois (IL) |
| Post Code | 620561519 |
| Phone Number | 2173242377 |
| Fax Number | 2173242377 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Bradley Keith Virgin by the Centers for Medicare & Medicaid Services?
The Bradley Keith Virgin has been issued the NPI (National Provider Identifier) 1871664219, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Bradley Keith Virgin?
The Bradley Keith Virgin is physically situated at 311 E Union Ave, in the city of Litchfield, state of IL, with the postal code 620561519.
What is Bradley Keith Virgin'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 Keith Virgin is Sports Physician, and the taxonomy classification code that categorizes this area of expertise is 111Ns0005X.
On what date did the Bradley Keith Virgin receive the assignment of its 1871664219 from the Centers for Medicare & Medicaid Services?
The Bradley Keith Virgin was issued its 1871664219 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date was the information regarding Bradley Keith Virgin, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bradley Keith Virgin, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-09.