Ricky Lynn Pethers in Boyne City - Chiropractor
Ricky Lynn Pethers - NPI 1982700456
Ricky Lynn Pethers is a Chiropractor in Boyne City, Michigan. Ricky Lynn Pethers practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ricky Lynn Pethers is 1982700456. The last update date is 2007-07-08.
Ricky Lynn Pethers's current location address is 430 Boyne Ave, Boyne City, Michigan. You can contact this provider via phone number 2315826581 and fax number 2315826449. The mailing address for Ricky Lynn Pethers is 430 Boyne Ave, Boyne City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ricky Lynn Pethers |
|---|---|
| Address | 430 Boyne Ave, Boyne City, Michigan |
| Phone Number | 2315826581 |
| Fax Number | 2315826449 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1982700456 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 430 Boyne Ave |
|---|---|
| City | Boyne City |
| State | Michigan (MI) |
| Post Code | 497121263 |
| Phone Number | 2315826581 |
| Fax Number | 2315826449 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301002936 |
|
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 |
|---|---|---|---|
| 2099227 | MI | -- | |
| 950A55010 | MI | BLUE CROSS/BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ricky Lynn Pethers by the Centers for Medicare & Medicaid Services?
The Ricky Lynn Pethers has been assigned the NPI (National Provider Identifier) 1982700456 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Ricky Lynn Pethers is physically located?
The Ricky Lynn Pethers is physically situated at the following address: 430 Boyne Ave, Boyne City, MI, 497121263.
What is Ricky Lynn Pethers's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Ricky Lynn Pethers's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Ricky Lynn Pethers receive the assignment of its 1982700456 from the Centers for Medicare & Medicaid Services?
The Ricky Lynn Pethers was issued its 1982700456 by the Centers for Medicare & Medicaid Services on 2006-09-15.
When was the information regarding Ricky Lynn Pethers, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Ricky Lynn Pethers, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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