Miles Ivan Bodzin in San Diego - Chiropractor
Miles Ivan Bodzin - NPI 1982696142
Miles Ivan Bodzin is a Chiropractor in San Diego, California. Miles Ivan Bodzin practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Miles Ivan Bodzin is 1982696142. The last update date is 2007-07-08.
Miles Ivan Bodzin's current location address is 6030 Santo Rd, San Diego, California. You can contact this provider via phone number 8585410505 and fax number 8585410527. The mailing address for Miles Ivan Bodzin is 6030 Santo Rd, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Miles Ivan Bodzin |
|---|---|
| Address | 6030 Santo Rd, San Diego, California |
| Phone Number | 8585410505 |
| Fax Number | 8585410527 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1982696142 |
|---|---|
| Provider Enumeration Date | 2005-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6030 Santo Rd |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921241196 |
| Phone Number | 8585410505 |
| Fax Number | 8585410527 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 23213 |
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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 identification code assigned to Miles Ivan Bodzin by the Centers for Medicare & Medicaid Services?
The Miles Ivan Bodzin has been issued the NPI (National Provider Identifier) 1982696142, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Miles Ivan Bodzin?
The Miles Ivan Bodzin is physically situated at 6030 Santo Rd, in the city of San Diego, state of CA, with the postal code 921241196.
What is Miles Ivan Bodzin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Miles Ivan Bodzin's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date was the 1982696142 assigned to Miles Ivan Bodzin?
The Miles Ivan Bodzin was issued its 1982696142 on 2005-08-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Miles Ivan Bodzin most recently updated or revised?
The information pertaining to Miles Ivan Bodzin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.