John Grootendorst in Madera - Chiropractor
John Grootendorst - NPI 1780765073
John Grootendorst is a Chiropractor in Madera, California. John Grootendorst practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Grootendorst is 1780765073. The last update date is 2020-04-16.
John Grootendorst's current location address is 900 W Yosemite Ave, Madera, California. You can contact this provider via phone number 5596748892 and fax number 5596741389. The mailing address for John Grootendorst is 900 W Yosemite Ave, Madera, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Grootendorst |
|---|---|
| Address | 900 W Yosemite Ave, Madera, California |
| Phone Number | 5596748892 |
| Fax Number | 5596741389 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1780765073 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-04-16 |
Provider Mailing Address Detail
| Address | 900 W Yosemite Ave |
|---|---|
| City | Madera |
| State | California (CA) |
| Post Code | 936374555 |
| Phone Number | 5596748892 |
| Fax Number | 5596741389 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 26630 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GDC000470 | CA | -- |
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What is the unique identifier code issued to John Grootendorst by the Centers for Medicare & Medicaid Services?
The John Grootendorst has been assigned the NPI (National Provider Identifier) 1780765073. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the John Grootendorst's physical address?
The John Grootendorst is physically located at 900 W Yosemite Ave, in the city of Madera, CA, with the postal code 936374555.
What is the area of specialization for John Grootendorst, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for John Grootendorst is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the John Grootendorst receive its 1780765073 assignment from the Centers for Medicare & Medicaid Services?
The John Grootendorst was assigned its 1780765073 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details related to John Grootendorst most recently updated or revised?
The information pertaining to John Grootendorst, including its address, specialty, and other relevant details, was last updated or revised on 2020-04-16.
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