Lynn Irene Banderob in Marion - Chiropractor
Lynn Irene Banderob - NPI 1174516843
Lynn Irene Banderob is a Chiropractor in Marion, Iowa. Lynn Irene Banderob practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lynn Irene Banderob is 1174516843. The last update date is 2015-10-30.
Lynn Irene Banderob's current location address is 3250 10th Ave, Marion, Iowa. You can contact this provider via phone number 3193771234 and fax number 3193771930. The mailing address for Lynn Irene Banderob is 3250 10th Ave, Marion, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lynn Irene Banderob |
|---|---|
| Address | 3250 10th Ave, Marion, Iowa |
| Phone Number | 3193771234 |
| Fax Number | 3193771930 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1174516843 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2015-10-30 |
Provider Mailing Address Detail
| Address | 3250 10th Ave |
|---|---|
| City | Marion |
| State | Iowa (IA) |
| Post Code | 523021507 |
| Phone Number | 3193771234 |
| Fax Number | 3193771930 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6492 |
|
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 |
|---|---|---|---|
| 49109 | IA | WELLMARK BLUECROSS BLUESH | |
| 483743 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Lynn Irene Banderob by the Centers for Medicare & Medicaid Services (CMS)?
The Lynn Irene Banderob has been assigned the NPI (National Provider Identifier) 1174516843. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Lynn Irene Banderob is located?
The Lynn Irene Banderob is situated at the following address: 3250 10Th Ave, Marion, IA, 523021507.
What is Lynn Irene Banderob's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lynn Irene Banderob's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Lynn Irene Banderob receive its 1174516843 assignment from the Centers for Medicare & Medicaid Services?
The Lynn Irene Banderob was assigned its 1174516843 on 2005-08-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Lynn Irene Banderob most recently updated or refreshed?
The details pertaining to the Lynn Irene Banderob, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-10-30.