Revolutionary Services Llc in Fort Mohave - Chiropractor
Revolutionary Services Llc - NPI 1518082122
Revolutionary Services Llc is a Chiropractor in Fort Mohave, Arizona. Revolutionary Services Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Revolutionary Services Llc is 1518082122. The last update date is 2012-01-19.
Revolutionary Services Llc's current location address is 5130 Highway 95, Fort Mohave, Arizona. You can contact this provider via phone number 9287682811 and fax number 9287689787. The mailing address for Revolutionary Services Llc is 5130 Highway 95, Fort Mohave, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Revolutionary Services Llc |
|---|---|
| Address | 5130 Highway 95, Fort Mohave, Arizona |
| Phone Number | 9287682811 |
| Fax Number | 9287689787 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Stout Earl Allen |
| Credentials | D.C. |
| Telephone Number | 9287682811 |
NPI Number Detail
| NPI Number | 1518082122 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2012-01-19 |
Provider Mailing Address Detail
| Address | 5130 Highway 95 |
|---|---|
| City | Fort Mohave |
| State | Arizona (AZ) |
| Post Code | 86426 |
| Phone Number | 9287682811 |
| Fax Number | 9287689787 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | B542 |
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Definition: 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 inte |
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What is the unique 10-digit identifier code issued to Revolutionary Services Llc by the Centers for Medicare & Medicaid Services?
The Revolutionary Services Llc has been assigned the NPI (National Provider Identifier) 1518082122 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Revolutionary Services Llc's physical address?
The Revolutionary Services Llc is physically located at 5130 Highway 95, in the city of Fort Mohave, AZ, with the postal code 86426.
What is the area of specialization for Revolutionary Services Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Revolutionary Services Llc is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did the Revolutionary Services Llc receive its 1518082122?
The Revolutionary Services Llc was issued its 1518082122 on 2007-03-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Revolutionary Services Llc's details last updated?
The information pertaining to the Revolutionary Services Llc, including its address, specialty, and other details, was most recently updated on 2012-01-19.
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