Randy Lynn Willoughby in Melcher - Chiropractor

Randy Lynn Willoughby - NPI 1407977929

Randy Lynn Willoughby is a Chiropractor in Melcher, Iowa. Randy Lynn Willoughby practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Randy Lynn Willoughby is 1407977929. The last update date is 2007-07-09.

Randy Lynn Willoughby's current location address is 115a South Main St., Melcher, Iowa. You can contact this provider via phone number 6419472068 and fax number 6419472068. The mailing address for Randy Lynn Willoughby is 115a South Main St., Melcher, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Randy Lynn Willoughby
Address 115a South Main St., Melcher, Iowa
Phone Number 6419472068
Fax Number 6419472068
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1407977929
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 115a South Main St.
City Melcher
State Iowa (IA)
Post Code 501630471
Phone Number 6419472068
Fax Number 6419472068

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No AO5997
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
1147876 IA --

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FAQs about Randy Lynn Willoughby

What is the unique identifier code issued to Randy Lynn Willoughby by the Centers for Medicare & Medicaid Services?

The Randy Lynn Willoughby has been assigned the NPI (National Provider Identifier) 1407977929. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Randy Lynn Willoughby's physical address?

The Randy Lynn Willoughby is physically located at 115A South Main St., in the city of Melcher, IA, with the postal code 501630471.

What is the Randy Lynn Willoughby's area of specialization and corresponding taxonomy classification?

The Randy Lynn Willoughby's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1407977929 to Randy Lynn Willoughby?

The Centers for Medicare & Medicaid Services assigned the 1407977929 to Randy Lynn Willoughby on 2007-04-02.

As of what date were the Randy Lynn Willoughby's details last updated?

The information pertaining to the Randy Lynn Willoughby, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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