Brad Michael Fisher in Manito - Chiropractor

Brad Michael Fisher - NPI 1760554133

Brad Michael Fisher is a Chiropractor in Manito, Illinois. Brad Michael Fisher practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brad Michael Fisher is 1760554133. The last update date is 2008-05-07.

Brad Michael Fisher's current location address is 408 S Adams, Manito, Illinois. You can contact this provider via phone number 3099687054 and fax number 3099687054. The mailing address for Brad Michael Fisher is 408 S Adams, Manito, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Brad Michael Fisher
Address 408 S Adams, Manito, Illinois
Phone Number 3099687054
Fax Number 3099687054
Sole Proprietor Y
Credentials DC

NPI Number Detail

NPI Number 1760554133
Provider Enumeration Date 2006-11-14
Last Updated Date 2008-05-07

Provider Mailing Address Detail

Address 408 S Adams
City Manito
State Illinois (IL)
Post Code 61546
Phone Number 3099687054
Fax Number 3099687054

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 38009721
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
38009721 IL --
9032018 BCBS IL

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FAQs about Brad Michael Fisher

What is the unique 10-digit identification code issued to Brad Michael Fisher by the Centers for Medicare & Medicaid Services?

The Brad Michael Fisher has been assigned the NPI (National Provider Identifier) 1760554133 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Brad Michael Fisher is geographically located?

The Brad Michael Fisher is physically situated at the following location: 408 S Adams, Manito, IL, 61546.

What is Brad Michael Fisher's area of expertise and its corresponding taxonomy classification?

The Brad Michael Fisher's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did Brad Michael Fisher receive its 1760554133 assignment from the Centers for Medicare & Medicaid Services?

The Brad Michael Fisher was assigned its 1760554133 on 2006-11-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Brad Michael Fisher, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Brad Michael Fisher, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-05-07.

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