Jay D Koontz is a Chiropractor in North Webster, Indiana. Jay D Koontz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jay D Koontz is 1801956404. The last update date is 2010-02-12.
Jay D Koontz's current location address is Po Box 579, North Webster, Indiana. You can contact this provider via phone number 5748347855 and fax number 5748347935. The mailing address for Jay D Koontz is Po Box 579, North Webster, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay D Koontz |
|---|---|
| Address | Po Box 579, North Webster, Indiana |
| Phone Number | 5748347855 |
| Fax Number | 5748347935 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1801956404 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2010-02-12 |
Provider Mailing Address Detail
| Address | Po Box 579 |
|---|---|
| City | North Webster |
| State | Indiana (IN) |
| Post Code | 465550579 |
| Phone Number | 5748347855 |
| Fax Number | 5748347935 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 08001901A |
|
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 |
|---|---|---|---|
| 210120 | IN | ANTHEM BC BS |
Post Comment/ Review Below
What is the Jay D Koontz's 1801956404?
The Jay D Koontz's NPI (National Provider Identifier) Number is 1801956404. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jay D Koontz?
The Jay D Koontz is situated at Po Box 579, in the city of North Webster, state of IN, with the zip code 465550579.
What is Jay D Koontz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jay D Koontz is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1801956404 to Jay D Koontz?
The Jay D Koontz received its 1801956404 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date were the Jay D Koontz's details last updated?
The information pertaining to the Jay D Koontz, including its address, specialty, and other details, was most recently updated on 2010-02-12.
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