Glen Leroy Groothuis in Hudson - Chiropractor
Glen Leroy Groothuis - NPI 1083694210
Glen Leroy Groothuis is a Chiropractor in Hudson, Iowa. Glen Leroy Groothuis practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Glen Leroy Groothuis is 1083694210. The last update date is 2007-07-08.
Glen Leroy Groothuis's current location address is 107 Eldora Rd., Hudson, Iowa. You can contact this provider via phone number 3199883336 and fax number 3199883196. The mailing address for Glen Leroy Groothuis is 107 Eldora Rd., Hudson, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Leroy Groothuis |
|---|---|
| Address | 107 Eldora Rd., Hudson, Iowa |
| Phone Number | 3199883336 |
| Fax Number | 3199883196 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1083694210 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 107 Eldora Rd. |
|---|---|
| City | Hudson |
| State | Iowa (IA) |
| Post Code | 506430366 |
| Phone Number | 3199883336 |
| Fax Number | 3199883196 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3028 |
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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 |
|---|---|---|---|
| 16899 | IA | -- |
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What is the unique identification code assigned to Glen Leroy Groothuis by the Centers for Medicare & Medicaid Services?
The Glen Leroy Groothuis has been issued the NPI (National Provider Identifier) 1083694210. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
What is the unique 10-digit identifier code assigned to Glen Leroy Groothuis by the Centers for Medicare & Medicaid Services?
The Glen Leroy Groothuis has been issued the NPI (National Provider Identifier) 1083694210 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Glen Leroy Groothuis is located?
The Glen Leroy Groothuis is situated at the following address: 107 Eldora Rd., Hudson, IA, 506430366.
What is Glen Leroy Groothuis'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 Glen Leroy Groothuis is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Glen Leroy Groothuis receive its 1083694210 assignment from the Centers for Medicare & Medicaid Services?
The Glen Leroy Groothuis was assigned its 1083694210 on 2006-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.