Tara H Theisen is a Chiropractor in Freeport, Illinois. Tara H Theisen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Tara H Theisen is 1356302756. The last update date is 2015-08-07.
Tara H Theisen's current location address is 1019 W Galena Ave, Freeport, Illinois. You can contact this provider via phone number 8152322225 and fax number 8152332571. The mailing address for Tara H Theisen is 1019 W Galena Ave, Freeport, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara H Theisen |
|---|---|
| Address | 1019 W Galena Ave, Freeport, Illinois |
| Phone Number | 8152322225 |
| Fax Number | 8152332571 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1356302756 |
|---|---|
| Provider Enumeration Date | 2006-03-28 |
| Last Updated Date | 2015-08-07 |
Provider Mailing Address Detail
| Address | 1019 W Galena Ave |
|---|---|
| City | Freeport |
| State | Illinois (IL) |
| Post Code | 610323819 |
| Phone Number | 8152322225 |
| Fax Number | 8152332571 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 038-008632 |
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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 identification code assigned to Tara H Theisen by the Centers for Medicare & Medicaid Services?
The Tara H Theisen has been issued the NPI (National Provider Identifier) 1356302756, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tara H Theisen located?
The Tara H Theisen is located at 1019 W Galena Ave, Freeport, IL 610323819.
What is the Tara H Theisen's area of specialization and corresponding taxonomy classification?
The Tara H Theisen'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 assign the 1356302756 to Tara H Theisen?
The Centers for Medicare & Medicaid Services assigned the 1356302756 to Tara H Theisen on 2006-03-28.
As of what date were the details pertaining to Tara H Theisen last refreshed?
The information related to the Tara H Theisen, including its address, specialty, and other relevant details, was last updated on 2015-08-07.
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