NPI 1003905241 BRADLEY JAMES BOULTON DC HARRISON MI. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Bradley James Boulton - NPI: 1003905241

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: BRADLEY JAMES BOULTON
NPI Number: 1003905241
Entity Type Code: Individual (1)
Gender: M
Credentials: DC
License Number: 2301005243
Business Practice Address: 190 S Second St
Harrison, MI - 48625
Business Phone Number: 9895395201
Business Fax Number:
Mailing Address: Po Box 308,
HARRISON
State: MI
Postal Code: 486250308
Phone Number: 9895395201
Fax Number:
NPI Enumeration Date: 10/12/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 2301005243
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MI
Taxonomy Type: Chiropractic Providers
Taxonomy Classification: Chiropractor
Taxonomy Specialization:
Taxonomy Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


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