Sean Paul Rondeau in Jacksonville - Chiropractor
Sean Paul Rondeau - NPI 1710992375
Sean Paul Rondeau is a Chiropractor in Jacksonville, Illinois. Sean Paul Rondeau practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Sean Paul Rondeau is 1710992375. The last update date is 2018-03-17.
Sean Paul Rondeau's current location address is 1111 W Morton Ave, Jacksonville, Illinois. You can contact this provider via phone number 2172432811 and fax number 2172434939. The mailing address for Sean Paul Rondeau is 1111 W Morton Ave, Jacksonville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sean Paul Rondeau |
|---|---|
| Address | 1111 W Morton Ave, Jacksonville, Illinois |
| Phone Number | 2172432811 |
| Fax Number | 2172434939 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1710992375 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1111 W Morton Ave |
|---|---|
| City | Jacksonville |
| State | Illinois (IL) |
| Post Code | 626503165 |
| Phone Number | 2172432811 |
| Fax Number | 2172434939 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38007996 |
|
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 |
|---|---|---|---|
| 6932004 | IL | BLUE CROSS BLUE SHIELD IL | |
| 329489 | IL | HEALTHLINK |
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What is the Sean Paul Rondeau's 1710992375?
The Sean Paul Rondeau's NPI (National Provider Identifier) Number is 1710992375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Sean Paul Rondeau is physically located?
The Sean Paul Rondeau is physically situated at the following address: 1111 W Morton Ave, Jacksonville, IL, 626503165.
What is Sean Paul Rondeau's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sean Paul Rondeau's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Sean Paul Rondeau receive the assignment of its 1710992375 from the Centers for Medicare & Medicaid Services?
The Sean Paul Rondeau was issued its 1710992375 by the Centers for Medicare & Medicaid Services on 2006-07-30.
As of what date were the Sean Paul Rondeau's details last updated?
The information pertaining to the Sean Paul Rondeau, including its address, specialty, and other details, was most recently updated on 2018-03-17.
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