John Staub is a Chiropractor in Orlando, Florida. John Staub practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Staub is 1629062047. The last update date is 2017-01-10.
John Staub's current location address is 615 Herndon Ave, Orlando, Florida. You can contact this provider via phone number 4072289599 and fax number 8004400693. The mailing address for John Staub is 615 Herndon Ave, Orlando, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Staub |
|---|---|
| Address | 615 Herndon Ave, Orlando, Florida |
| Phone Number | 4072289599 |
| Fax Number | 8004400693 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1629062047 |
|---|---|
| Provider Enumeration Date | 2005-08-31 |
| Last Updated Date | 2017-01-10 |
Provider Mailing Address Detail
| Address | 615 Herndon Ave |
|---|---|
| City | Orlando |
| State | Florida (FL) |
| Post Code | 328035138 |
| Phone Number | 4072289599 |
| Fax Number | 8004400693 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH8270 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 70221 | FL | BLUE CROSS / BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John Staub by the Centers for Medicare & Medicaid Services?
The John Staub has been issued the NPI (National Provider Identifier) 1629062047 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where John Staub is located?
The John Staub is situated at the following address: 615 Herndon Ave, Orlando, FL, 328035138.
What is John Staub's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John Staub is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date was the 1629062047 assigned to John Staub?
The John Staub was issued its 1629062047 on 2005-08-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to John Staub most recently updated or refreshed?
The details pertaining to the John Staub, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-01-10.