Charles David Coram in Ottumwa - Sports Physician
Charles David Coram - NPI 1376659490
Charles David Coram is a Sports Physician in Ottumwa, Iowa. Charles David Coram practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Charles David Coram is 1376659490. The last update date is 2007-07-08.
Charles David Coram's current location address is 1941 Albia Rd, Ottumwa, Iowa. You can contact this provider via phone number 6416823993. The mailing address for Charles David Coram is 1941 Albia Rd, Ottumwa, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles David Coram |
|---|---|
| Address | 1941 Albia Rd, Ottumwa, Iowa |
| Phone Number | 6416823993 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1376659490 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1941 Albia Rd |
|---|---|
| City | Ottumwa |
| State | Iowa (IA) |
| Post Code | 525013708 |
| Phone Number | 6416823993 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | A06164 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 185058 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Charles David Coram by the Centers for Medicare & Medicaid Services?
The Charles David Coram has been issued the NPI (National Provider Identifier) 1376659490 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 Charles David Coram is physically located?
The Charles David Coram is physically situated at the following address: 1941 Albia Rd, Ottumwa, IA, 525013708.
What is Charles David Coram's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles David Coram's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Charles David Coram receive the assignment of its 1376659490 from the Centers for Medicare & Medicaid Services?
The Charles David Coram was issued its 1376659490 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information related to Charles David Coram most recently updated or refreshed?
The details pertaining to the Charles David Coram, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.