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BERTHIAUME CHIROPRACTIC PA NPI 1699029876


NPI Information

NPI: 1699029876
Provider Name: BERTHIAUME CHIROPRACTIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1197 US HIGHWAY 1
ROCKLEDGE, FL
ZIP 32955
Phone: (321) 504-3737
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BERTHIAUME CHIROPRACTIC PA is a chiropractor in Rockledge, FL. 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. BERTHIAUME CHIROPRACTIC PA NPI is 1699029876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1197 US HIGHWAY 1
ROCKLEDGE, FL
ZIP 32955-713
Phone: (321) 504-3737
Fax: (321) 504-4454

The provider's authorized official is Richrd G Berthiaume .
The authorized official title is President and has the following contact phone number (321) 504-3737.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 12/12/2012.


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
1111N00000XChiropractorCH6888FLORIDAYes

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
1381141700MEDICAIDFLORIDA
2U53366MEDICARE UPINFLORIDA

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: 5/5/2024

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