Eric Marcel Custode in Riverside - Chiropractor
Eric Marcel Custode - NPI 1215058912
Eric Marcel Custode is a Chiropractor in Riverside, California. Eric Marcel Custode practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Eric Marcel Custode is 1215058912. The last update date is 2007-07-08.
Eric Marcel Custode's current location address is 4620 Pine St, Riverside, California. You can contact this provider via phone number 9517828700 and fax number 9517829988. The mailing address for Eric Marcel Custode is 4620 Pine St, Riverside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Marcel Custode |
|---|---|
| Address | 4620 Pine St, Riverside, California |
| Phone Number | 9517828700 |
| Fax Number | 9517829988 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1215058912 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4620 Pine St |
|---|---|
| City | Riverside |
| State | California (CA) |
| Post Code | 925014007 |
| Phone Number | 9517828700 |
| Fax Number | 9517829988 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC29492 |
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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 Eric Marcel Custode by the Centers for Medicare & Medicaid Services?
The Eric Marcel Custode has been issued the NPI (National Provider Identifier) 1215058912 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Eric Marcel Custode located?
The Eric Marcel Custode is located at 4620 Pine St, Riverside, CA 925014007.
What is Eric Marcel Custode's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Eric Marcel Custode is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Eric Marcel Custode receive its 1215058912 assignment from the Centers for Medicare & Medicaid Services?
The Eric Marcel Custode was assigned its 1215058912 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date was the information regarding Eric Marcel Custode, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eric Marcel Custode, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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