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DODGE DELANCEY CHIROPRACTIC NPI 1639598741


NPI Information

NPI: 1639598741
Provider Name: DODGE DELANCEY CHIROPRACTIC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
8461 RIDGE RD
SODUS, NY
ZIP 14551
Phone: (315) 498-0243
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DODGE DELANCEY CHIROPRACTIC is a preferred provider organization in Sodus, NY. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. DODGE DELANCEY CHIROPRACTIC NPI is 1639598741. The provider is registered as an organization entity type.

The provider's business location address is:

8461 RIDGE RD
SODUS, NY
ZIP 14551-569
Phone: (315) 498-0243
Fax: (315) 498-0249

The provider's authorized official is Michelle Gaebel Dodge .
The authorized official title is Owner/chiropractor and has the following contact phone number (315) 498-0243.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 4/16/2014.


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
1305R00000XPreferred Provider Organization70012414NEW YORKNo
2305R00000XPreferred Provider Organization70012413NEW 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
11831524503MEDICARE NSCNEW YORK
21730514407MEDICARE NSCNEW 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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