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FEDDES CHIROPRACTIC LTD NPI 1720331721


NPI Information

NPI: 1720331721
Provider Name: FEDDES CHIROPRACTIC LTD

Doing Business As: GOTTFRIED CHIROPRACTIC CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
200 N WEST ST
OLNEY, IL
ZIP 62450
Phone: (618) 395-9131
Get Directions

FEDDES CHIROPRACTIC LTD is a chiropractor in Olney, IL. 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. FEDDES CHIROPRACTIC LTD NPI is 1720331721. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Gottfried Chiropractic Clinic.

The provider's business location address is:

200 N WEST ST
OLNEY, IL
ZIP 62450-108
Phone: (618) 395-9131

The provider's authorized official is Joshua Clarence Feddes .
The authorized official title is Owner/operator and has the following contact phone number (314) 691-2938.

The enumeration date for this NPI number is 10/16/2012 and was last updated on 10/16/2012.


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
1111N00000XChiropractor038012288ILLINOISYes

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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