Doctor Name: | DR. GREGORY GEORGE KOTLARCZYK |
NPI Number: | 1487630430 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | CH9102 |
Business Practice Address: | 9020 58th Dr East Ste 102 Bradenton, FL - 34202 |
Business Phone Number: | 9417565555 |
Business Fax Number: | 9417565556 |
Mailing Address: | P.o. Box 20247, BRADENTON |
State: | FL |
Postal Code: | 34204 |
Phone Number: | 9417565555 |
Fax Number: | 9417565556 |
NPI Enumeration Date: | 12/21/2005 |
NPI Last Update Date: | 11/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | CH9102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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. |