Kathlynn Jon Stull in Saint Joseph - Chiropractor

Kathlynn Jon Stull - NPI 1184824476

Kathlynn Jon Stull is a Chiropractor in Saint Joseph, Michigan. Kathlynn Jon Stull practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Kathlynn Jon Stull is 1184824476. The last update date is 2009-03-20.

Kathlynn Jon Stull's current location address is 2820 Niles Rd, Saint Joseph, Michigan. You can contact this provider via phone number 2694291982 and fax number 2695569615. The mailing address for Kathlynn Jon Stull is 2820 Niles Rd, Saint Joseph, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathlynn Jon Stull
Address 2820 Niles Rd, Saint Joseph, Michigan
Phone Number 2694291982
Fax Number 2695569615
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1184824476
Provider Enumeration Date 2007-07-24
Last Updated Date 2009-03-20

Provider Mailing Address Detail

Address 2820 Niles Rd
City Saint Joseph
State Michigan (MI)
Post Code 490853355
Phone Number 2694291982
Fax Number 2695569615

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301008480
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
950A111580 MI BCBSMI
950A111370 BLUE CROSS BLUE SHIELD OF

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FAQs about Kathlynn Jon Stull

What is the unique 10-digit identification code issued to Kathlynn Jon Stull by the Centers for Medicare & Medicaid Services?

The Kathlynn Jon Stull has been assigned the NPI (National Provider Identifier) 1184824476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Kathlynn Jon Stull?

The Kathlynn Jon Stull is situated at 2820 Niles Rd, in the city of Saint Joseph, state of MI, with the zip code 490853355.

What is the area of specialization for Kathlynn Jon Stull, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kathlynn Jon Stull is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184824476 to Kathlynn Jon Stull?

The Kathlynn Jon Stull received its 1184824476 assignment from the Centers for Medicare & Medicaid Services on 2007-07-24.

When was the information pertaining to Kathlynn Jon Stull most recently updated or revised?

The details related to Kathlynn Jon Stull, including its address, specialty, and other relevant information, were last updated or revised on 2009-03-20.

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