Roger D. Wallis in Fort Lupton - Chiropractor
Roger D. Wallis - NPI 1063615243
Roger D. Wallis is a Chiropractor in Fort Lupton, Colorado. Roger D. Wallis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Roger D. Wallis is 1063615243. The last update date is 2007-12-07.
Roger D. Wallis's current location address is 419 Denver Ave, Fort Lupton, Colorado. You can contact this provider via phone number 3038576344. The mailing address for Roger D. Wallis is 419 Denver Ave, Fort Lupton, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger D. Wallis |
|---|---|
| Address | 419 Denver Ave, Fort Lupton, Colorado |
| Phone Number | 3038576344 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | P.C. |
NPI Number Detail
| NPI Number | 1063615243 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 419 Denver Ave |
|---|---|
| City | Fort Lupton |
| State | Colorado (CO) |
| Post Code | 806211823 |
| Phone Number | 3038576344 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1509 |
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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 issued to Roger D. Wallis by the Centers for Medicare & Medicaid Services?
The Roger D. Wallis has been assigned the NPI (National Provider Identifier) 1063615243 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Roger D. Wallis?
The Roger D. Wallis is physically situated at 419 Denver Ave, in the city of Fort Lupton, state of CO, with the postal code 806211823.
What is Roger D. Wallis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Roger D. Wallis's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1063615243 to Roger D. Wallis?
The Centers for Medicare & Medicaid Services assigned the 1063615243 to Roger D. Wallis on 2007-06-06.
When was the information related to Roger D. Wallis most recently updated or refreshed?
The details pertaining to the Roger D. Wallis, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-12-07.
NPI Number: 1457354839
Address: P.o. Box 1252, Spartanburg, SC