Lacy Rae Follett-Brubake in Jefferson - Chiropractor
Lacy Rae Follett-Brubake - NPI 1871523431
Lacy Rae Follett-Brubake is a Chiropractor in Jefferson, Iowa. Lacy Rae Follett-Brubake practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lacy Rae Follett-Brubake is 1871523431. The last update date is 2007-07-08.
Lacy Rae Follett-Brubake's current location address is 105 E Vest St, Jefferson, Iowa. You can contact this provider via phone number 5153864753. The mailing address for Lacy Rae Follett-Brubake is 105 E Vest St, Jefferson, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacy Rae Follett-Brubake |
|---|---|
| Address | 105 E Vest St, Jefferson, Iowa |
| Phone Number | 5153864753 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1871523431 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 105 E Vest St |
|---|---|
| City | Jefferson |
| State | Iowa (IA) |
| Post Code | 501292752 |
| Phone Number | 5153864753 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6459 |
|
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 |
|---|---|---|---|
| 30900 | IA | BLUE CROSS BLUE SHIELD | |
| 285429 | IA | -- |
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What is the unique 10-digit identification code assigned to Lacy Rae Follett-Brubake by the Centers for Medicare & Medicaid Services?
The Lacy Rae Follett-Brubake has been issued the NPI (National Provider Identifier) 1871523431, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lacy Rae Follett-Brubake?
The Lacy Rae Follett-Brubake is situated at 105 E Vest St, in the city of Jefferson, state of IA, with the zip code 501292752.
What is the Lacy Rae Follett-Brubake's specialty and taxonomy code?
The Lacy Rae Follett-Brubake's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did Lacy Rae Follett-Brubake receive its 1871523431 assignment from the Centers for Medicare & Medicaid Services?
The Lacy Rae Follett-Brubake was assigned its 1871523431 on 2006-07-03, 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 Lacy Rae Follett-Brubake most recently updated or revised?
The information pertaining to Lacy Rae Follett-Brubake, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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