DR. EDWARD CHARLES SIARKOWICZ D.C. NPI 1093810095

NPI Information

NPI: 1093810095
Provider Name: DR. EDWARD CHARLES SIARKOWICZ, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
4750 E MOODY BLVD
#105
BUNNELL, FL
ZIP 32110
Phone: (386) 437-2012
Get Directions

DR. Edward Charles Siarkowicz, D.C. is a chiropractor in Bunnell, 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. DR. Edward Charles Siarkowicz, D.C. NPI is 1093810095. 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:

4750 E MOODY BLVD
#105
BUNNELL, FL
ZIP 32110-709
Phone: (386) 437-2012
Fax: (386) 437-2191

The enumeration date for this NPI number is 9/14/2006 and was last updated on 9/1/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		X007478	NEW YORK	No
2	111N00000X	Chiropractor		CH6640	FLORIDA	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	22923Z	MEDICARE ID-TYPE UNSPECIFIED
2	22923	MEDICARE UPIN

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

NPI Synchronization or Removal

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