Traci N Nelson Johnson in Bettendorf - Chiropractor
Traci N Nelson Johnson - NPI 1205891868
Traci N Nelson Johnson is a Chiropractor in Bettendorf, Iowa. Traci N Nelson Johnson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Traci N Nelson Johnson is 1205891868. The last update date is 2017-01-30.
Traci N Nelson Johnson's current location address is 2377 Cumberland Square Dr, Bettendorf, Iowa. You can contact this provider via phone number 5633599541 and fax number 5633443914. The mailing address for Traci N Nelson Johnson is 2377 Cumberland Square Dr, Bettendorf, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Traci N Nelson Johnson |
|---|---|
| Address | 2377 Cumberland Square Dr, Bettendorf, Iowa |
| Phone Number | 5633599541 |
| Fax Number | 5633443914 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1205891868 |
|---|---|
| Provider Enumeration Date | 2006-04-18 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 2377 Cumberland Square Dr |
|---|---|
| City | Bettendorf |
| State | Iowa (IA) |
| Post Code | 527223251 |
| Phone Number | 5633599541 |
| Fax Number | 5633443914 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 731689454 |
|
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 |
|---|---|---|---|
| 1186874 | IA | -- | |
| 48886 | IA | WELLMARK |
Post Comment/ Review Below
What is the Traci N Nelson Johnson's 1205891868?
The Traci N Nelson Johnson's NPI (National Provider Identifier) Number is 1205891868. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Traci N Nelson Johnson is located?
The Traci N Nelson Johnson is situated at the following address: 2377 Cumberland Square Dr, Bettendorf, IA, 527223251.
What is the area of specialization for Traci N Nelson Johnson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Traci N Nelson Johnson 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 1205891868 to Traci N Nelson Johnson?
The Traci N Nelson Johnson received its 1205891868 assignment from the Centers for Medicare & Medicaid Services on 2006-04-18.
When was the information pertaining to Traci N Nelson Johnson most recently updated or revised?
The details related to Traci N Nelson Johnson, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-30.