Kristopher M Mcclusky in Collinsville - Chiropractor
Kristopher M Mcclusky - NPI 1083734537
Kristopher M Mcclusky is a Chiropractor in Collinsville, Illinois. Kristopher M Mcclusky practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kristopher M Mcclusky is 1083734537. The last update date is 2008-07-26.
Kristopher M Mcclusky's current location address is 410 Regency Ctr, Collinsville, Illinois. You can contact this provider via phone number 6183433602. The mailing address for Kristopher M Mcclusky is 410 Regency Ctr, Collinsville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristopher M Mcclusky |
|---|---|
| Address | 410 Regency Ctr, Collinsville, Illinois |
| Phone Number | 6183433602 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1083734537 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2008-07-26 |
Provider Mailing Address Detail
| Address | 410 Regency Ctr |
|---|---|
| City | Collinsville |
| State | Illinois (IL) |
| Post Code | 622344659 |
| Phone Number | 6183433602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38010177 |
|
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 |
|---|---|---|---|
| 6032272 | IL | BCBS |
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What is the unique 10-digit identification code issued to Kristopher M Mcclusky by the Centers for Medicare & Medicaid Services?
The Kristopher M Mcclusky has been assigned the NPI (National Provider Identifier) 1083734537 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Kristopher M Mcclusky located?
The Kristopher M Mcclusky is located at 410 Regency Ctr, Collinsville, IL 622344659.
What is Kristopher M Mcclusky's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kristopher M Mcclusky's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Kristopher M Mcclusky receive its 1083734537 assignment?
The Kristopher M Mcclusky was assigned its 1083734537 on 2007-03-29, which is the date when this unique identifier was issued to the organization.
When was the information related to Kristopher M Mcclusky most recently updated or refreshed?
The details pertaining to the Kristopher M Mcclusky, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-26.
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