AUSTIN THOMAS GORE DC NPI 1629631411

NPI Information

NPI: 1629631411
Provider Name: AUSTIN THOMAS GORE, DC
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
3305 W 144TH AVE
BROOMFIELD, CO
ZIP 80023
Phone: (303) 948-0734
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Austin Thomas Gore, DC is a student in an organized health care education training program in Broomfield, CO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Austin Thomas Gore, DC NPI is 1629631411. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3305 W 144TH AVE
BROOMFIELD, CO
ZIP 80023-482
Phone: (303) 948-0734

The enumeration date for this NPI number is 4/17/2019 and was last updated on 4/17/2019.

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	390200000X	Student in an Organized Health Care Education/Training Program				Yes

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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