Kevin Russell Mikalaitis in Longmont - Chiropractor
Kevin Russell Mikalaitis - NPI 1104008663
Kevin Russell Mikalaitis is a Chiropractor in Longmont, Colorado. Kevin Russell Mikalaitis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kevin Russell Mikalaitis is 1104008663. The last update date is 2008-01-07.
Kevin Russell Mikalaitis's current location address is 1318 Vivian St, Longmont, Colorado. You can contact this provider via phone number 3037760882 and fax number 3037761053. The mailing address for Kevin Russell Mikalaitis is 1318 Vivian St, Longmont, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Russell Mikalaitis |
|---|---|
| Address | 1318 Vivian St, Longmont, Colorado |
| Phone Number | 3037760882 |
| Fax Number | 3037761053 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1104008663 |
|---|---|
| Provider Enumeration Date | 2007-11-27 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 1318 Vivian St |
|---|---|
| City | Longmont |
| State | Colorado (CO) |
| Post Code | 805013217 |
| Phone Number | 3037760882 |
| Fax Number | 3037761053 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHR-6064 |
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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 Kevin Russell Mikalaitis's 1104008663?
The Kevin Russell Mikalaitis's NPI (National Provider Identifier) Number is 1104008663. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kevin Russell Mikalaitis located?
The Kevin Russell Mikalaitis is located at 1318 Vivian St, Longmont, CO 805013217.
What is Kevin Russell Mikalaitis's area of expertise and its corresponding taxonomy classification?
The Kevin Russell Mikalaitis's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Kevin Russell Mikalaitis receive its 1104008663 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Russell Mikalaitis was assigned its 1104008663 on 2007-11-27, 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 Kevin Russell Mikalaitis most recently updated or revised?
The details related to Kevin Russell Mikalaitis, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-07.
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