M. Chad Larsen is a Chiropractor in Leesburg, Georgia. M. Chad Larsen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for M. Chad Larsen is 1003971458. The last update date is 2007-07-08.
M. Chad Larsen's current location address is 1477 Us Highway 19 S, Leesburg, Georgia. You can contact this provider via phone number 2294361191 and fax number 2294361140. The mailing address for M. Chad Larsen is 1477 Us Highway 19 S, Leesburg, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | M. Chad Larsen |
|---|---|
| Address | 1477 Us Highway 19 S, Leesburg, Georgia |
| Phone Number | 2294361191 |
| Fax Number | 2294361140 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1003971458 |
|---|---|
| Provider Enumeration Date | 2006-12-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1477 Us Highway 19 S |
|---|---|
| City | Leesburg |
| State | Georgia (GA) |
| Post Code | 317634868 |
| Phone Number | 2294361191 |
| Fax Number | 2294361140 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CHIR003115 |
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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 identifier code assigned to M. Chad Larsen by the Centers for Medicare & Medicaid Services?
The M. Chad Larsen has been issued the NPI (National Provider Identifier) 1003971458 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of M. Chad Larsen?
The M. Chad Larsen is situated at 1477 Us Highway 19 S, in the city of Leesburg, state of GA, with the zip code 317634868.
What is the area of specialization for M. Chad Larsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for M. Chad Larsen is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1003971458 to M. Chad Larsen?
The Centers for Medicare & Medicaid Services assigned the 1003971458 to M. Chad Larsen on 2006-12-26.
When was the information related to M. Chad Larsen most recently updated or refreshed?
The details pertaining to the M. Chad Larsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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