Staker Chiropractic Life Center P C in Geneva - Chiropractor

Staker Chiropractic Life Center P C - NPI 1164431771

Staker Chiropractic Life Center P C is a Chiropractor in Geneva, Illinois. Staker Chiropractic Life Center P C practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Staker Chiropractic Life Center P C is 1164431771. The last update date is 2011-11-14.

Staker Chiropractic Life Center P C's current location address is 501 Lark St, Geneva, Illinois. You can contact this provider via phone number 6302326616 and fax number 6302326681. The mailing address for Staker Chiropractic Life Center P C is 501 Lark St, Geneva, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Staker Chiropractic Life Center P C
Address 501 Lark St, Geneva, Illinois
Phone Number 6302326616
Fax Number 6302326681
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Staker Curtis Bryce
Credentials D.C
Telephone Number 6302326616

NPI Number Detail

NPI Number 1164431771
Provider Enumeration Date 2006-08-05
Last Updated Date 2011-11-14

Provider Mailing Address Detail

Address 501 Lark St
City Geneva
State Illinois (IL)
Post Code 601342526
Phone Number 6302326616
Fax Number 6302326681

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
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
4522176 IL BLUE SHIELD GROUP NUMBER

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FAQs about Staker Chiropractic Life Center P C

What is the unique 10-digit identification code issued to Staker Chiropractic Life Center P C by the Centers for Medicare & Medicaid Services?

The Staker Chiropractic Life Center P C has been assigned the NPI (National Provider Identifier) 1164431771 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Staker Chiropractic Life Center P C's facilities are geographically located?

The facilities of Staker Chiropractic Life Center P C are physically situated at the following location: 501 Lark St, Geneva, IL, 601342526.

What is the Staker Chiropractic Life Center P C's area of specialization and corresponding taxonomy classification?

The Staker Chiropractic Life Center P C'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 Staker Chiropractic Life Center P C receive its 1164431771 assignment from the Centers for Medicare & Medicaid Services?

The Staker Chiropractic Life Center P C was assigned its 1164431771 by the Centers for Medicare & Medicaid Services on 2006-08-05.

As of what date was the information regarding Staker Chiropractic Life Center P C, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Staker Chiropractic Life Center P C, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-14.

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