Andrew Gerard Dibley in Elkhart - Sports Physician
Andrew Gerard Dibley - NPI 1801927561
Andrew Gerard Dibley is a Sports Physician in Elkhart, Indiana. Andrew Gerard Dibley practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Andrew Gerard Dibley is 1801927561. The last update date is 2007-07-08.
Andrew Gerard Dibley's current location address is 1709 E Bristol St, Elkhart, Indiana. You can contact this provider via phone number 5742649174 and fax number 5742624070. The mailing address for Andrew Gerard Dibley is 1709 E Bristol St, Elkhart, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrew Gerard Dibley |
|---|---|
| Address | 1709 E Bristol St, Elkhart, Indiana |
| Phone Number | 5742649174 |
| Fax Number | 5742624070 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1801927561 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1709 E Bristol St |
|---|---|
| City | Elkhart |
| State | Indiana (IN) |
| Post Code | 465146606 |
| Phone Number | 5742649174 |
| Fax Number | 5742624070 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 08001099A |
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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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What is the unique 10-digit identification code issued to Andrew Gerard Dibley by the Centers for Medicare & Medicaid Services?
The Andrew Gerard Dibley has been assigned the NPI (National Provider Identifier) 1801927561 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Andrew Gerard Dibley's physical address?
The Andrew Gerard Dibley is physically located at 1709 E Bristol St, in the city of Elkhart, IN, with the postal code 465146606.
What is Andrew Gerard Dibley's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrew Gerard Dibley'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 Andrew Gerard Dibley receive its 1801927561 assignment from the Centers for Medicare & Medicaid Services?
The Andrew Gerard Dibley was assigned its 1801927561 by the Centers for Medicare & Medicaid Services on 2007-03-07.
When was the information pertaining to Andrew Gerard Dibley most recently updated or revised?
The details related to Andrew Gerard Dibley, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1184627523
Address: 8901 Wisconsin Ave., National Naval Medical Center, Bethesda, MD