Michael L Larsen in Galesburg - Chiropractor
Michael L Larsen - NPI 1619053931
Michael L Larsen is a Chiropractor in Galesburg, Illinois. Michael L Larsen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael L Larsen is 1619053931. The last update date is 2007-07-08.
Michael L Larsen's current location address is 1052 E Losey St, Galesburg, Illinois. You can contact this provider via phone number 3093422777 and fax number 3093426702. The mailing address for Michael L Larsen is 1052 E Losey St, Galesburg, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael L Larsen |
|---|---|
| Address | 1052 E Losey St, Galesburg, Illinois |
| Phone Number | 3093422777 |
| Fax Number | 3093426702 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1619053931 |
|---|---|
| Provider Enumeration Date | 2006-10-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1052 E Losey St |
|---|---|
| City | Galesburg |
| State | Illinois (IL) |
| Post Code | 614013874 |
| Phone Number | 3093422777 |
| Fax Number | 3093426702 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38006092 |
|
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 |
|---|---|---|---|
| 4882015 | IL | BLUE CROSS BLUE SHIELD | |
| 38006092 | IL | -- | |
| 350015512 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Michael L Larsen by the Centers for Medicare & Medicaid Services?
The Michael L Larsen has been assigned the NPI (National Provider Identifier) 1619053931. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Michael L Larsen?
The Michael L Larsen is situated at 1052 E Losey St, in the city of Galesburg, state of IL, with the zip code 614013874.
What is the area of specialization for Michael L Larsen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael L 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 originally issue the 1619053931 to Michael L Larsen?
The Centers for Medicare & Medicaid Services originally issued the 1619053931 to Michael L Larsen on 2006-10-30.
When was the information related to Michael L Larsen most recently updated or refreshed?
The details pertaining to the Michael L Larsen, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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