Laurie Robert Mestdagh in Columbia - Chiropractor
Laurie Robert Mestdagh - NPI 1417006859
Laurie Robert Mestdagh is a Chiropractor in Columbia, Illinois. Laurie Robert Mestdagh practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Laurie Robert Mestdagh is 1417006859. The last update date is 2012-07-12.
Laurie Robert Mestdagh's current location address is 1550 N Main St, Columbia, Illinois. You can contact this provider via phone number 6182816167 and fax number 6182814444. The mailing address for Laurie Robert Mestdagh is 1550 N Main St, Columbia, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laurie Robert Mestdagh |
|---|---|
| Address | 1550 N Main St, Columbia, Illinois |
| Phone Number | 6182816167 |
| Fax Number | 6182814444 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417006859 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2012-07-12 |
Provider Mailing Address Detail
| Address | 1550 N Main St |
|---|---|
| City | Columbia |
| State | Illinois (IL) |
| Post Code | 622361070 |
| Phone Number | 6182816167 |
| Fax Number | 6182814444 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38009443 |
|
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 |
|---|---|---|---|
| 38009443 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Laurie Robert Mestdagh by the Centers for Medicare & Medicaid Services?
The Laurie Robert Mestdagh has been issued the NPI (National Provider Identifier) 1417006859, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Laurie Robert Mestdagh is geographically located?
The Laurie Robert Mestdagh is physically situated at the following location: 1550 N Main St, Columbia, IL, 622361070.
What is the area of specialization for Laurie Robert Mestdagh, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Laurie Robert Mestdagh 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 originally issue the 1417006859 to Laurie Robert Mestdagh?
The Centers for Medicare & Medicaid Services originally issued the 1417006859 to Laurie Robert Mestdagh on 2007-01-08.
When was the information regarding Laurie Robert Mestdagh most recently updated?
The details pertaining to the Laurie Robert Mestdagh, including its address, specialty, and other relevant information, were last refreshed on 2012-07-12.
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