Robert Joseph Avila in Pueblo - Sports Physician
Robert Joseph Avila - NPI 1245248400
Robert Joseph Avila is a Sports Physician in Pueblo, Colorado. Robert Joseph Avila practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Robert Joseph Avila is 1245248400. The last update date is 2020-03-17.
Robert Joseph Avila's current location address is 3960 Ivywood Ln, Pueblo, Colorado. You can contact this provider via phone number 7195651276 and fax number 7195652313. The mailing address for Robert Joseph Avila is 3960 Ivywood Ln, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Name | Robert Joseph Avila |
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Address | 3960 Ivywood Ln, Pueblo, Colorado |
Phone Number | 7195651276 |
Fax Number | 7195652313 |
Sole Proprietor | Y |
Credentials | D.C., CCST |
NPI Number Detail
NPI Number | 1245248400 |
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Provider Enumeration Date | 2006-08-04 |
Last Updated Date | 2020-03-17 |
Provider Mailing Address Detail
Address | 3960 Ivywood Ln |
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City | Pueblo |
State | Colorado (CO) |
Post Code | 810052567 |
Phone Number | 7195651276 |
Fax Number | 7195652313 |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 4867 |
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) |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
4867 | CO | COLORADO LICENSE UPIN | |
COA106967 | CO | MEDICARE PTAN DR AVILA | |
841603517 | CO | TAX I.D. | |
1245248400 | CO | NPI DR AVILA | |
1821363557 | CO | GROUP NPI | |
1295797413 | CO | NPI DR WILSON | |
COA106966 | GROUP PTAN | ||
COA107185 | CO | MEDICARE PTAN DR. WILSON |
Post Comment/ Review Below
What is the Robert Joseph Avila's unique identification number?
The Robert Joseph Avila has been assigned the NPI (National Provider Identifier) Number 1245248400 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Robert Joseph Avila is geographically located?
The Robert Joseph Avila is physically situated at the following location: 3960 Ivywood Ln, Pueblo, CO, 810052567.
What is Robert Joseph Avila's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert Joseph Avila's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
When did Robert Joseph Avila receive its 1245248400 assignment?
The Robert Joseph Avila was assigned its 1245248400 on 2006-08-04, which is the date when this unique identifier was issued to the organization.
When was the information regarding Robert Joseph Avila, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Robert Joseph Avila, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-03-17.