Richard Boysen Forrest in Clinton - Chiropractor
Richard Boysen Forrest - NPI 1790765436
Richard Boysen Forrest is a Chiropractor in Clinton, Iowa. Richard Boysen Forrest practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard Boysen Forrest is 1790765436. The last update date is 2011-12-27.
Richard Boysen Forrest's current location address is 80 23rd Ave N, Clinton, Iowa. You can contact this provider via phone number 5632428026 and fax number 5632420016. The mailing address for Richard Boysen Forrest is 80 23rd Ave N, Clinton, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Boysen Forrest |
|---|---|
| Address | 80 23rd Ave N, Clinton, Iowa |
| Phone Number | 5632428026 |
| Fax Number | 5632420016 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1790765436 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2011-12-27 |
Provider Mailing Address Detail
| Address | 80 23rd Ave N |
|---|---|
| City | Clinton |
| State | Iowa (IA) |
| Post Code | 527323636 |
| Phone Number | 5632428026 |
| Fax Number | 5632420016 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4908 |
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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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 196816 | IA | -- | |
| 12819 | IA | GROUP # | |
| 350045382 | IA | RR MEDICARE | |
| CJ5186 | IA | RR MEDICARE GROUP # | |
| 45-3076673 | IA | FEDERAL TAX ID # | |
| 4908 | IA | IA LICENSE # | |
| 4899 | IA | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Richard Boysen Forrest by the Centers for Medicare & Medicaid Services?
The Richard Boysen Forrest has been assigned the NPI (National Provider Identifier) 1790765436 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Richard Boysen Forrest's facilities are situated?
The facilities of Richard Boysen Forrest are physically located at the following address: 80 23Rd Ave N, Clinton, IA, 527323636.
What is the Richard Boysen Forrest's area of specialization and corresponding taxonomy classification?
The Richard Boysen Forrest's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1790765436 assigned to Richard Boysen Forrest?
The Richard Boysen Forrest was issued its 1790765436 on 2006-01-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Richard Boysen Forrest, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard Boysen Forrest, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-12-27.