GERARD P POORTINGA D.C. NPI 1609990852

NPI Information

NPI: 1609990852
Provider Name: GERARD P POORTINGA, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
525 DAYTON ST
YELLOW SPRINGS, OH
ZIP 45387
Phone: (937) 767-1115
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Gerard P Poortinga, D.C. is a chiropractor in Yellow Springs, OH. 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. Gerard P Poortinga, D.C. NPI is 1609990852. 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:

525 DAYTON ST
YELLOW SPRINGS, OH
ZIP 45387-709
Phone: (937) 767-1115
Fax: (937) 767-9997

The enumeration date for this NPI number is 3/16/2007 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		764	OHIO	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
1	0450211	MEDICAID	OHIO
2	T47074	MEDICARE UPIN	OHIO
3	P00468301	MEDICARE ID-TYPE UNSPECIFIED	OHIO

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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