Wayne E Domenick in Goodrich - Chiropractor
Wayne E Domenick - NPI 1396743852
Wayne E Domenick is a Chiropractor in Goodrich, Michigan. Wayne E Domenick practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wayne E Domenick is 1396743852. The last update date is 2008-05-21.
Wayne E Domenick's current location address is 9037 S State Rd, Goodrich, Michigan. You can contact this provider via phone number 8106362190 and fax number 8106367855. The mailing address for Wayne E Domenick is 9037 S State Rd, Goodrich, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wayne E Domenick |
|---|---|
| Address | 9037 S State Rd, Goodrich, Michigan |
| Phone Number | 8106362190 |
| Fax Number | 8106367855 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1396743852 |
|---|---|
| Provider Enumeration Date | 2005-07-08 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 9037 S State Rd |
|---|---|
| City | Goodrich |
| State | Michigan (MI) |
| Post Code | 484388869 |
| Phone Number | 8106362190 |
| Fax Number | 8106367855 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301008818 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4724081 | MI | -- | |
| 999848 | MI | HEALTH PLUS | |
| 950B514920 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wayne E Domenick by the Centers for Medicare & Medicaid Services?
The Wayne E Domenick has been issued the NPI (National Provider Identifier) 1396743852 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Wayne E Domenick's physical address?
The Wayne E Domenick is physically located at 9037 S State Rd, in the city of Goodrich, MI, with the postal code 484388869.
What is Wayne E Domenick's area of expertise and its corresponding taxonomy classification?
The Wayne E Domenick's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396743852 to Wayne E Domenick?
The Centers for Medicare & Medicaid Services originally issued the 1396743852 to Wayne E Domenick on 2005-07-08.
When was the information regarding Wayne E Domenick most recently updated?
The details pertaining to the Wayne E Domenick, including its address, specialty, and other relevant information, were last refreshed on 2008-05-21.