Chiropractic Wellness Center Of Goshen, Pc in Goshen - Chiropractor
Chiropractic Wellness Center Of Goshen, Pc - NPI 1174611792
Chiropractic Wellness Center Of Goshen, Pc is a Chiropractor in Goshen, Indiana. Chiropractic Wellness Center Of Goshen, Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chiropractic Wellness Center Of Goshen, Pc is 1174611792. The last update date is 2020-08-22.
Chiropractic Wellness Center Of Goshen, Pc's current location address is 401 E Madison St, Goshen, Indiana. You can contact this provider via phone number 5745337363. The mailing address for Chiropractic Wellness Center Of Goshen, Pc is 401 E Madison St, Goshen, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chiropractic Wellness Center Of Goshen, Pc |
|---|---|
| Address | 401 E Madison St, Goshen, Indiana |
| Phone Number | 5745337363 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ivanov I Maxim |
| Credentials | D.C. |
| Telephone Number | 5745337363 |
NPI Number Detail
| NPI Number | 1174611792 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 401 E Madison St |
|---|---|
| City | Goshen |
| State | Indiana (IN) |
| Post Code | 465263431 |
| Phone Number | 5745337363 |
| Fax Number |
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 provider identifier assigned to Chiropractic Wellness Center Of Goshen, Pc?
The Chiropractic Wellness Center Of Goshen, Pc has been issued the NPI (National Provider Identifier) 1174611792 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Chiropractic Wellness Center Of Goshen, Pc located?
The Chiropractic Wellness Center Of Goshen, Pc is located at 401 E Madison St, Goshen, IN 465263431.
What is Chiropractic Wellness Center Of Goshen, Pc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Chiropractic Wellness Center Of Goshen, Pc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Chiropractic Wellness Center Of Goshen, Pc receive its 1174611792 assignment from the Centers for Medicare & Medicaid Services?
The Chiropractic Wellness Center Of Goshen, Pc was assigned its 1174611792 on 2006-10-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Chiropractic Wellness Center Of Goshen, Pc most recently updated or revised?
The information pertaining to Chiropractic Wellness Center Of Goshen, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.