Anthony Gale Miszklevitz in Lower Lake - Chiropractor

Anthony Gale Miszklevitz - NPI 1730254632

Anthony Gale Miszklevitz is a Chiropractor in Lower Lake, California. Anthony Gale Miszklevitz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Anthony Gale Miszklevitz is 1730254632. The last update date is 2007-07-08.

Anthony Gale Miszklevitz's current location address is 12793 Perini Road, Lower Lake, California. You can contact this provider via phone number 7073502255 and fax number 7079942244. The mailing address for Anthony Gale Miszklevitz is 12793 Perini Road, Lower Lake, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony Gale Miszklevitz
Address 12793 Perini Road, Lower Lake, California
Phone Number 7073502255
Fax Number 7079942244
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1730254632
Provider Enumeration Date 2006-11-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12793 Perini Road
City Lower Lake
State California (CA)
Post Code 95457
Phone Number 7073502255
Fax Number 7079942244

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No DC11485
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DC11485 CA DC

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FAQs about Anthony Gale Miszklevitz

What is the unique 10-digit identifier code assigned to Anthony Gale Miszklevitz by the Centers for Medicare & Medicaid Services?

The Anthony Gale Miszklevitz has been issued the NPI (National Provider Identifier) 1730254632 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 Anthony Gale Miszklevitz?

The Anthony Gale Miszklevitz is situated at 12793 Perini Road, in the city of Lower Lake, state of CA, with the zip code 95457.

What is Anthony Gale Miszklevitz's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Anthony Gale Miszklevitz is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.

On what date did Anthony Gale Miszklevitz receive its 1730254632 assignment from the Centers for Medicare & Medicaid Services?

The Anthony Gale Miszklevitz was assigned its 1730254632 on 2006-11-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Anthony Gale Miszklevitz most recently updated or revised?

The details related to Anthony Gale Miszklevitz, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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