Edwin Frederick Vonborstel in Lakewood - Chiropractor
Edwin Frederick Vonborstel - NPI 1902925886
Edwin Frederick Vonborstel is a Chiropractor in Lakewood, California. Edwin Frederick Vonborstel practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Edwin Frederick Vonborstel is 1902925886. The last update date is 2007-07-08.
Edwin Frederick Vonborstel's current location address is 5220 Clark Ave, Lakewood, California. You can contact this provider via phone number 5628663340 and fax number 5628040499. The mailing address for Edwin Frederick Vonborstel is 5220 Clark Ave, Lakewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Frederick Vonborstel |
|---|---|
| Address | 5220 Clark Ave, Lakewood, California |
| Phone Number | 5628663340 |
| Fax Number | 5628040499 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1902925886 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5220 Clark Ave |
|---|---|
| City | Lakewood |
| State | California (CA) |
| Post Code | 907122618 |
| Phone Number | 5628663340 |
| Fax Number | 5628040499 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 15417 |
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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 assigned to Edwin Frederick Vonborstel by the Centers for Medicare & Medicaid Services?
The Edwin Frederick Vonborstel has been issued the NPI (National Provider Identifier) 1902925886 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Edwin Frederick Vonborstel?
The Edwin Frederick Vonborstel is situated at 5220 Clark Ave, in the city of Lakewood, state of CA, with the zip code 907122618.
What is the area of specialization for Edwin Frederick Vonborstel, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edwin Frederick Vonborstel is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Edwin Frederick Vonborstel receive the assignment of its 1902925886 from the Centers for Medicare & Medicaid Services?
The Edwin Frederick Vonborstel was issued its 1902925886 by the Centers for Medicare & Medicaid Services on 2007-03-29.
As of what date was the information regarding Edwin Frederick Vonborstel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edwin Frederick Vonborstel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1720081763
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