Shane Michael Cousineau in Gaylord - Chiropractor
Shane Michael Cousineau - NPI 1871522961
Shane Michael Cousineau is a Chiropractor in Gaylord, Michigan. Shane Michael Cousineau practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shane Michael Cousineau is 1871522961. The last update date is 2011-05-19.
Shane Michael Cousineau's current location address is 997 N Center Ave, Gaylord, Michigan. You can contact this provider via phone number 9897322225 and fax number 9897316776. The mailing address for Shane Michael Cousineau is 997 N Center Ave, Gaylord, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane Michael Cousineau |
|---|---|
| Address | 997 N Center Ave, Gaylord, Michigan |
| Phone Number | 9897322225 |
| Fax Number | 9897316776 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1871522961 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2011-05-19 |
Provider Mailing Address Detail
| Address | 997 N Center Ave |
|---|---|
| City | Gaylord |
| State | Michigan (MI) |
| Post Code | 497359375 |
| Phone Number | 9897322225 |
| Fax Number | 9897316776 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | SC008123 |
|
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 |
|---|---|---|---|
| 4259114 | MI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shane Michael Cousineau?
The Shane Michael Cousineau has been issued the NPI (National Provider Identifier) 1871522961 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Shane Michael Cousineau is geographically located?
The Shane Michael Cousineau is physically situated at the following location: 997 N Center Ave, Gaylord, MI, 497359375.
What is Shane Michael Cousineau's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shane Michael Cousineau's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did Shane Michael Cousineau receive its 1871522961 assignment from the Centers for Medicare & Medicaid Services?
The Shane Michael Cousineau was assigned its 1871522961 on 2006-07-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Shane Michael Cousineau, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shane Michael Cousineau, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2011-05-19.
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