Michael W Sample in Manteno - Chiropractor

Michael W Sample - NPI 1326006396

Michael W Sample is a Chiropractor in Manteno, Illinois. Michael W Sample practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Michael W Sample is 1326006396. The last update date is 2007-07-08.

Michael W Sample's current location address is 51 N Main St, Manteno, Illinois. You can contact this provider via phone number 8154687787 and fax number 8154680154. The mailing address for Michael W Sample is 51 N Main St, Manteno, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael W Sample
Address 51 N Main St, Manteno, Illinois
Phone Number 8154687787
Fax Number 8154680154
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1326006396
Provider Enumeration Date 2006-05-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 51 N Main St
City Manteno
State Illinois (IL)
Post Code 609501534
Phone Number 8154687787
Fax Number 8154680154

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
4619978 IL BC/BS PROVIDER NUMBER

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FAQs about Michael W Sample

What is the unique identifier code issued to Michael W Sample by the Centers for Medicare & Medicaid Services (CMS)?

The Michael W Sample has been assigned the NPI (National Provider Identifier) 1326006396. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Michael W Sample?

The Michael W Sample is physically situated at 51 N Main St, in the city of Manteno, state of IL, with the postal code 609501534.

What is the area of specialization for Michael W Sample, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Michael W Sample 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 issue the 1326006396 to Michael W Sample?

The Michael W Sample received its 1326006396 assignment from the Centers for Medicare & Medicaid Services on 2006-05-01.

When was the information related to Michael W Sample most recently updated or refreshed?

The details pertaining to the Michael W Sample, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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