Provider Demographics
NPI:1689915829
Name:B&D CHIROPRACTIC INC
Entity Type:Organization
Organization Name:B&D CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:GERWIG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:954-390-7071
Mailing Address - Street 1:4242 N FEDERAL HWY
Mailing Address - Street 2:SUITE C
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-5549
Mailing Address - Country:US
Mailing Address - Phone:954-390-7071
Mailing Address - Fax:954-567-4049
Practice Address - Street 1:4242 N FEDERAL HWY
Practice Address - Street 2:SUITE C
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5549
Practice Address - Country:US
Practice Address - Phone:954-390-7071
Practice Address - Fax:954-567-4049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7229111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL55682OtherBLUE CROSS BLUE SHIELD