Douglas Anthony Jordahl in Rantoul - Chiropractor
Douglas Anthony Jordahl - NPI 1710945894
Douglas Anthony Jordahl is a Chiropractor in Rantoul, Illinois. Douglas Anthony Jordahl practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Douglas Anthony Jordahl is 1710945894. The last update date is 2007-07-08.
Douglas Anthony Jordahl's current location address is 1640 E Grove Ave, Rantoul, Illinois. You can contact this provider via phone number 2178925770 and fax number 2178934316. The mailing address for Douglas Anthony Jordahl is 1640 E Grove Ave, Rantoul, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Anthony Jordahl |
|---|---|
| Address | 1640 E Grove Ave, Rantoul, Illinois |
| Phone Number | 2178925770 |
| Fax Number | 2178934316 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1710945894 |
|---|---|
| Provider Enumeration Date | 2006-05-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1640 E Grove Ave |
|---|---|
| City | Rantoul |
| State | Illinois (IL) |
| Post Code | 618662737 |
| Phone Number | 2178925770 |
| Fax Number | 2178934316 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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What is the unique identifier code issued to Douglas Anthony Jordahl by the Centers for Medicare & Medicaid Services?
The Douglas Anthony Jordahl has been assigned the NPI (National Provider Identifier) 1710945894. 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 Douglas Anthony Jordahl?
The Douglas Anthony Jordahl is situated at 1640 E Grove Ave, in the city of Rantoul, state of IL, with the zip code 618662737.
What is Douglas Anthony Jordahl's area of expertise and its corresponding taxonomy classification?
The Douglas Anthony Jordahl'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 the Centers for Medicare & Medicaid Services originally issue the 1710945894 to Douglas Anthony Jordahl?
The Centers for Medicare & Medicaid Services originally issued the 1710945894 to Douglas Anthony Jordahl on 2006-05-01.
As of what date were the details related to Douglas Anthony Jordahl most recently updated or revised?
The information pertaining to Douglas Anthony Jordahl, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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