NPI 1033434931 JONATHAN ILLMAN D.C. LONGMONT CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Jonathan Illman - NPI: 1033434931

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: JONATHAN ILLMAN
NPI Number: 1033434931
Entity Type Code: Individual (1)
Gender: M
Credentials: D.C.
License Number: 6511
Business Practice Address: 2350 17th Ave
Suite 105 Longmont, CO - 805031737
Business Phone Number: 3036517003
Business Fax Number:
Mailing Address: 2350 17th Ave, Suite 105
LONGMONT
State: CO
Postal Code: 805031737
Phone Number: 3036517003
Fax Number:
NPI Enumeration Date: 04/02/2010
NPI Last Update Date: 07/24/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 111N00000X
License Number: 6511
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CO
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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