Jeremy Lyn Goodrum in Wellington - Chiropractor
Jeremy Lyn Goodrum - NPI 1912187006
Jeremy Lyn Goodrum is a Chiropractor in Wellington, Kansas. Jeremy Lyn Goodrum practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeremy Lyn Goodrum is 1912187006. The last update date is 2016-01-21.
Jeremy Lyn Goodrum's current location address is 306 W 8th St, Wellington, Kansas. You can contact this provider via phone number 6203263611 and fax number 6203266939. The mailing address for Jeremy Lyn Goodrum is 306 W 8th St, Wellington, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeremy Lyn Goodrum |
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Address | 306 W 8th St, Wellington, Kansas |
Phone Number | 6203263611 |
Fax Number | 6203266939 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1912187006 |
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Provider Enumeration Date | 2007-11-06 |
Last Updated Date | 2016-01-21 |
Provider Mailing Address Detail
Address | 306 W 8th St |
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City | Wellington |
State | Kansas (KS) |
Post Code | 671523923 |
Phone Number | 6203263611 |
Fax Number | 6203266939 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 01-05164 |
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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What is the unique provider identifier assigned to Jeremy Lyn Goodrum?
The Jeremy Lyn Goodrum has been issued the NPI (National Provider Identifier) 1912187006 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jeremy Lyn Goodrum's physical address?
The Jeremy Lyn Goodrum is physically located at 306 W 8Th St, in the city of Wellington, KS, with the postal code 671523923.
What is Jeremy Lyn Goodrum's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jeremy Lyn Goodrum's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date was the 1912187006 assigned to Jeremy Lyn Goodrum?
The Jeremy Lyn Goodrum was issued its 1912187006 on 2007-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jeremy Lyn Goodrum most recently updated?
The details pertaining to the Jeremy Lyn Goodrum, including its address, specialty, and other relevant information, were last refreshed on 2016-01-21.