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DRD HEALTHSOURCE CHIROPRACTIC PLLC NPI 1245479435


NPI Information

NPI: 1245479435
Provider Name: DRD HEALTHSOURCE CHIROPRACTIC PLLC

Doing Business As: HEALTHSOURCE CHIROPRACTIC

Classification: Chiropractor - 111NS0005X
Entity Type: Organization

Specialization: Sports Physician

Address:
90 ERIE CANAL DR
SUITE D
ROCHESTER, NY
ZIP 14626
Phone: (585) 225-6430
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DRD HEALTHSOURCE CHIROPRACTIC PLLC is a sports physician chiropractor in Rochester, NY. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DRD HEALTHSOURCE CHIROPRACTIC PLLC NPI is 1245479435. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Healthsource Chiropractic.

The provider's business location address is:

90 ERIE CANAL DR
SUITE D
ROCHESTER, NY
ZIP 14626-610
Phone: (585) 225-6430

The provider's authorized official is Donald R Dudley .
The authorized official title is Chiropractor and has the following contact phone number (585) 225-6430.

The enumeration date for this NPI number is 2/11/2009 and was last updated on 8/20/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111NS0005XChiropractorSports PhysicianX009170NEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17067356OTHERNEW YORKAETNA
2C09170-4OTHERNEW YORKWORKERS COMPENSATION
3106032ANOTHERPREFERRED CARE
4P020009170OTHERNEW YORKEXCELLUS BLUE CROSS/BLUE SHIELD
5647276OTHERNEW YORKUNITED HEALTHCARE
6P010009170OTHERNEW YORKBLUE CHOICE
7BB4086MEDICARE PINNEW YORK

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

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