Brian L Roscoe is a Chiropractor in Grand Haven, Michigan. Brian L Roscoe practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian L Roscoe is 1043339765. The last update date is 2007-07-08.
Brian L Roscoe's current location address is 727 Washington St, Grand Haven, Michigan. You can contact this provider via phone number 6168471444 and fax number 6168471711. The mailing address for Brian L Roscoe is 727 Washington St, Grand Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian L Roscoe |
|---|---|
| Address | 727 Washington St, Grand Haven, Michigan |
| Phone Number | 6168471444 |
| Fax Number | 6168471711 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1043339765 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 727 Washington St |
|---|---|
| City | Grand Haven |
| State | Michigan (MI) |
| Post Code | 494171458 |
| Phone Number | 6168471444 |
| Fax Number | 6168471711 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2301005392 |
|
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 |
|---|---|---|---|
| BR 005392 | MI | PPOM | |
| 141B11174 | MI | -- | |
| 0G01069 | MI | BLUE CROSS |
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What is the unique 10-digit identification code issued to Brian L Roscoe by the Centers for Medicare & Medicaid Services?
The Brian L Roscoe has been assigned the NPI (National Provider Identifier) 1043339765 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Brian L Roscoe located?
The Brian L Roscoe is located at 727 Washington St, Grand Haven, MI 494171458.
What is Brian L Roscoe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brian L Roscoe's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Brian L Roscoe receive its 1043339765 assignment from the Centers for Medicare & Medicaid Services?
The Brian L Roscoe was assigned its 1043339765 on 2007-03-28, 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 regarding Brian L Roscoe, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brian L Roscoe, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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