Cynthia Dawn Treharne, D.C., P.A.
Individual provider Active NPI Chiropractor · Fulton, IL
NPI 1801973128 · NPPES record last updated Aug 19, 2013
Key facts
- NPI
- 1801973128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 038-010663 (IL)
- Practice address
- 1106 4TH St
Fulton, IL 61252-1718 - Phone
- (815) 589-5255
- Fax
- (309) 786-7980
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038-010663 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ams Holdings, LLC | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038-010663 | IL | Yes |
| Medical Physician Assistant | 363AM0700X | 085001604 | IL | |
| Medical Physician Assistant | 363AM0700X | 001363 | IA |
Addresses
Primary practice location
1106 4TH St
Fulton, IL 61252-1718
Mailing address
1106 4TH St
Fulton, IL 61252-1718
Phone (815) 589-5255
Other providers in Fulton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.