Gordon, Thad Barry

Gordon, Thad Barry is an individual health care provider with primary practice located at 1986 31St Avenue Suite 110, Vero Beach FL 32960-6627. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Gordon, Thad Barry can be contacted via phone (772) 567-3334.

Contact Information

Primary practice address
1986 31St Avenue Suite 110 Vero Beach FL 32960-6627
Phone: (772) 567-3334
Fax: (772) 567-4523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH2470 Florida

Profile Details

NPI number 1942316112
LBN Legal business name Gordon, Thad Barry
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1942316112 NPPES
Other 4400124 UNITED HEALTHCARE
Other 89915 UNITED HEALTHCARE

Popular Providers