Susan Cackowski is a Chiropractor in Bowdon, Georgia. Susan Cackowski practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Susan Cackowski is 1316093115. The last update date is 2007-07-08.
Susan Cackowski's current location address is 111 Lovvorn Ave, Bowdon, Georgia. You can contact this provider via phone number 7702588100. The mailing address for Susan Cackowski is 111 Lovvorn Ave, Bowdon, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Cackowski |
|---|---|
| Address | 111 Lovvorn Ave, Bowdon, Georgia |
| Phone Number | 7702588100 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1316093115 |
|---|---|
| Provider Enumeration Date | 2007-01-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 Lovvorn Ave |
|---|---|
| City | Bowdon |
| State | Georgia (GA) |
| Post Code | 30108 |
| Phone Number | 7702588100 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 643 |
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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 identifier code issued to Susan Cackowski by the Centers for Medicare & Medicaid Services?
The Susan Cackowski has been assigned the NPI (National Provider Identifier) 1316093115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Susan Cackowski's facilities are geographically located?
The facilities of Susan Cackowski are physically situated at the following location: 111 Lovvorn Ave, Bowdon, GA, 30108.
What is the Susan Cackowski's area of specialization and corresponding taxonomy classification?
The Susan Cackowski's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316093115 to Susan Cackowski?
The Centers for Medicare & Medicaid Services originally issued the 1316093115 to Susan Cackowski on 2007-01-25.
As of what date were the Susan Cackowski's details last updated?
The information pertaining to the Susan Cackowski, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1720081763
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