Deadra L Wagner in Benton Harbor - Chiropractor
Deadra L Wagner - NPI 1538290234
Deadra L Wagner is a Chiropractor in Benton Harbor, Michigan. Deadra L Wagner practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Deadra L Wagner is 1538290234. The last update date is 2010-01-20.
Deadra L Wagner's current location address is 1459 Miami Rd, Benton Harbor, Michigan. You can contact this provider via phone number 2692087031. The mailing address for Deadra L Wagner is 1459 Miami Rd, Benton Harbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deadra L Wagner |
|---|---|
| Address | 1459 Miami Rd, Benton Harbor, Michigan |
| Phone Number | 2692087031 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1538290234 |
|---|---|
| Provider Enumeration Date | 2007-03-07 |
| Last Updated Date | 2010-01-20 |
Provider Mailing Address Detail
| Address | 1459 Miami Rd |
|---|---|
| City | Benton Harbor |
| State | Michigan (MI) |
| Post Code | 490226055 |
| Phone Number | 2692087031 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38009468 |
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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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What is the unique 10-digit identification code assigned to Deadra L Wagner by the Centers for Medicare & Medicaid Services?
The Deadra L Wagner has been issued the NPI (National Provider Identifier) 1538290234, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Deadra L Wagner's physical address?
The Deadra L Wagner is physically located at 1459 Miami Rd, in the city of Benton Harbor, MI, with the postal code 490226055.
What is Deadra L Wagner's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Deadra L Wagner is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When did the Deadra L Wagner receive its 1538290234?
The Deadra L Wagner was issued its 1538290234 on 2007-03-07, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Deadra L Wagner most recently updated or revised?
The details related to Deadra L Wagner, including its address, specialty, and other relevant information, were last updated or revised on 2010-01-20.
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