Clark V Monahan in St. Augustine - Chiropractor
Clark V Monahan - NPI 1982622593
Clark V Monahan is a Chiropractor in St. Augustine, Florida. Clark V Monahan practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clark V Monahan is 1982622593. The last update date is 2014-03-26.
Clark V Monahan's current location address is 419 Anastasia Blvd., St. Augustine, Florida. You can contact this provider via phone number 9048248353 and fax number 9048245705. The mailing address for Clark V Monahan is 419 Anastasia Blvd., St. Augustine, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark V Monahan |
|---|---|
| Address | 419 Anastasia Blvd., St. Augustine, Florida |
| Phone Number | 9048248353 |
| Fax Number | 9048245705 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1982622593 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2014-03-26 |
Provider Mailing Address Detail
| Address | 419 Anastasia Blvd. |
|---|---|
| City | St. Augustine |
| State | Florida (FL) |
| Post Code | 320804508 |
| Phone Number | 9048248353 |
| Fax Number | 9048245705 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH002385 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 50018600 | FL | -- | |
| 89830 | FL | BLUE CROSS & BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Clark V Monahan by the Centers for Medicare & Medicaid Services?
The Clark V Monahan has been issued the NPI (National Provider Identifier) 1982622593, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Clark V Monahan is located?
The Clark V Monahan is situated at the following address: 419 Anastasia Blvd., St. Augustine, FL, 320804508.
What is the Clark V Monahan's specialty and taxonomy code?
The Clark V Monahan's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982622593 to Clark V Monahan?
The Centers for Medicare & Medicaid Services assigned the 1982622593 to Clark V Monahan on 2006-07-18.
As of what date were the details related to Clark V Monahan most recently updated or revised?
The information pertaining to Clark V Monahan, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-26.