Individual
DR. PATRICK ROBERT GOTTFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
8887 HIGH POINTE DR, SUITE F, NEWBURGH, IN 47630-7969
(812) 490-7386
(812) 490-7386
Mailing address
5844 CYPRESS POINTE DR, NEWBURGH, IN 47630-9843
(812) 480-5835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007937
IL
111N00000X
Chiropractor
08002502A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007937
—
IL
01
—
08021310
BCBS OF IL
IL
01
—
331358
HEALTHLINK
IL
Enumeration date
08/22/2006
Last updated
04/18/2013
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