Bloomington Chiropractic Center, Ltd. in Bloomington - Clinic/center

Bloomington Chiropractic Center, Ltd. - NPI 1487833992

Bloomington Chiropractic Center, Ltd. is a Clinic/center in Bloomington, Illinois. Bloomington Chiropractic Center, Ltd. practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Bloomington Chiropractic Center, Ltd. is 1487833992. The last update date is 2007-10-31.

Bloomington Chiropractic Center, Ltd.'s current location address is 409 S Prospect Rd, Bloomington, Illinois. You can contact this provider via phone number 3096638388 and fax number 3096630929. The mailing address for Bloomington Chiropractic Center, Ltd. is 409 S Prospect Rd, Bloomington, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Bloomington Chiropractic Center, Ltd.
Address 409 S Prospect Rd, Bloomington, Illinois
Phone Number 3096638388
Fax Number 3096630929
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SENIOR ASS
Authorized Official Name Everingham M John
Credentials D.C.
Telephone Number 3096638388

NPI Number Detail

NPI Number 1487833992
Provider Enumeration Date 2007-10-31
Last Updated Date 2007-10-31

Provider Mailing Address Detail

Address 409 S Prospect Rd
City Bloomington
State Illinois (IL)
Post Code 617044581
Phone Number 3096638388
Fax Number 3096630929

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 060002911- 0
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5715397 IL BLUE CROSS / BLUE SHIED

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FAQs about Bloomington Chiropractic Center, Ltd.

What is the unique identifier code issued to Bloomington Chiropractic Center, Ltd. by the Centers for Medicare & Medicaid Services?

The Bloomington Chiropractic Center, Ltd. has been assigned the NPI (National Provider Identifier) 1487833992. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Bloomington Chiropractic Center, Ltd.?

The Bloomington Chiropractic Center, Ltd. is situated at 409 S Prospect Rd, in the city of Bloomington, state of IL, with the zip code 617044581.

What is Bloomington Chiropractic Center, Ltd.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Bloomington Chiropractic Center, Ltd.'s specialized field of practice is Clinic/center, and the corresponding taxonomy code that categorizes this area of specialization is 261Q00000X.

On what date did the Bloomington Chiropractic Center, Ltd. receive its 1487833992 assignment from the Centers for Medicare & Medicaid Services?

The Bloomington Chiropractic Center, Ltd. was assigned its 1487833992 by the Centers for Medicare & Medicaid Services on 2007-10-31.

As of what date was the information regarding Bloomington Chiropractic Center, Ltd., such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Bloomington Chiropractic Center, Ltd., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-31.

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