MR. CORY LANE GARDNER D.C. NPI 1124060082

NPI Information

NPI: 1124060082
Provider Name: MR. CORY LANE GARDNER, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
301 ORCHARD ST
ELKINS, WV
ZIP 26241
Phone: (304) 636-2411
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MR. Cory Lane Gardner, D.C. is a chiropractor in Elkins, WV. The provider is 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. MR. Cory Lane Gardner, D.C. NPI is 1124060082. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 ORCHARD ST
ELKINS, WV
ZIP 26241-338
Phone: (304) 636-2411
Fax: (304) 636-2411

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		803	WEST VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U99857	MEDICARE UPIN
2	P00209889	OTHER	WEST VIRGINIA	RAILROAD MEDICARE
3	4132991	MEDICARE ID-TYPE UNSPECIFIED	WEST VIRGINIA
4	3810000836	MEDICAID	WEST VIRGINIA
5	WV00803	OTHER	WEST VIRGINIA	THE HEALTH PLAN
6	11351236	OTHER	WEST VIRGINIA	CIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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