Brent Frank Lewallen in Goshen - Chiropractor
Brent Frank Lewallen - NPI 1871520122
Brent Frank Lewallen is a Chiropractor in Goshen, Indiana. Brent Frank Lewallen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brent Frank Lewallen is 1871520122. The last update date is 2015-05-05.
Brent Frank Lewallen's current location address is 909 Linway Dr, Goshen, Indiana. You can contact this provider via phone number 5745344400 and fax number 5745345855. The mailing address for Brent Frank Lewallen is 909 Linway Dr, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Frank Lewallen |
|---|---|
| Address | 909 Linway Dr, Goshen, Indiana |
| Phone Number | 5745344400 |
| Fax Number | 5745345855 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1871520122 |
|---|---|
| Provider Enumeration Date | 2006-06-26 |
| Last Updated Date | 2015-05-05 |
Provider Mailing Address Detail
| Address | 909 Linway Dr |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465262431 |
| Phone Number | 5745344400 |
| Fax Number | 5745345855 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08001227A |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100366320 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Frank Lewallen by the Centers for Medicare & Medicaid Services (CMS)?
The Brent Frank Lewallen has been assigned the NPI (National Provider Identifier) 1871520122. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Brent Frank Lewallen is physically located?
The Brent Frank Lewallen is physically situated at the following address: 909 Linway Dr, Goshen, IN, 465262431.
What is Brent Frank Lewallen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent Frank Lewallen's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date was the 1871520122 assigned to Brent Frank Lewallen?
The Brent Frank Lewallen was issued its 1871520122 on 2006-06-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Brent Frank Lewallen most recently updated or refreshed?
The details pertaining to the Brent Frank Lewallen, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-05.