Larry Lee Norris is a Chiropractor in Portage, Michigan. Larry Lee Norris practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry Lee Norris is 1669529012. The last update date is 2007-07-08.
Larry Lee Norris's current location address is 6749 S Westnedge Ave, Portage, Michigan. You can contact this provider via phone number 2693243131 and fax number 2693292983. The mailing address for Larry Lee Norris is 6749 S Westnedge Ave, Portage, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Larry Lee Norris |
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Address | 6749 S Westnedge Ave, Portage, Michigan |
Phone Number | 2693243131 |
Fax Number | 2693292983 |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1669529012 |
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Provider Enumeration Date | 2007-01-05 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6749 S Westnedge Ave |
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City | Portage |
State | Michigan (MI) |
Post Code | 490023574 |
Phone Number | 2693243131 |
Fax Number | 2693292983 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2301006036 |
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 |
---|---|---|---|
950C96411 | MI | BLUE CROSS BLUE SHIELD | |
G04627 | MI | BLUE CARE NETWORK |
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What is the Larry Lee Norris's 1669529012?
The Larry Lee Norris's NPI (National Provider Identifier) Number is 1669529012. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry Lee Norris's facilities are situated?
The facilities of Larry Lee Norris are physically located at the following address: 6749 S Westnedge Ave, Portage, MI, 490023574.
What is the Larry Lee Norris's area of specialization and corresponding taxonomy classification?
The Larry Lee Norris's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1669529012 to Larry Lee Norris?
The Larry Lee Norris received its 1669529012 assignment from the Centers for Medicare & Medicaid Services on 2007-01-05.
As of what date were the details pertaining to Larry Lee Norris last refreshed?
The information related to the Larry Lee Norris, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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