Jeffrey Edwin Middeldorf in Warren - Chiropractor
Jeffrey Edwin Middeldorf - NPI 1063528958
Jeffrey Edwin Middeldorf is a Chiropractor in Warren, Michigan. Jeffrey Edwin Middeldorf practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey Edwin Middeldorf is 1063528958. The last update date is 2013-12-10.
Jeffrey Edwin Middeldorf's current location address is 5700 E 11 Mile Road, Warren, Michigan. You can contact this provider via phone number 5865584482 and fax number 5865588923. The mailing address for Jeffrey Edwin Middeldorf is 5700 E 11 Mile Road, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jeffrey Edwin Middeldorf |
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Address | 5700 E 11 Mile Road, Warren, Michigan |
Phone Number | 5865584482 |
Fax Number | 5865588923 |
Sole Proprietor | N |
Credentials | D.O. |
NPI Number Detail
NPI Number | 1063528958 |
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Provider Enumeration Date | 2006-08-22 |
Last Updated Date | 2013-12-10 |
Provider Mailing Address Detail
Address | 5700 E 11 Mile Road |
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City | Warren |
State | Michigan (MI) |
Post Code | 48089 |
Phone Number | 5865584482 |
Fax Number | 5865588923 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2301003007 |
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 |
---|---|---|---|
3742088 | MI | -- | |
2555002114BX33 | BC/BS |
Post Comment/ Review Below
What is the Jeffrey Edwin Middeldorf's 1063528958?
The Jeffrey Edwin Middeldorf's NPI (National Provider Identifier) Number is 1063528958. 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 address where Jeffrey Edwin Middeldorf is geographically located?
The Jeffrey Edwin Middeldorf is physically situated at the following location: 5700 E 11 Mile Road, Warren, MI, 48089.
What is Jeffrey Edwin Middeldorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Edwin Middeldorf's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did Jeffrey Edwin Middeldorf receive its 1063528958 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Edwin Middeldorf was assigned its 1063528958 on 2006-08-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeffrey Edwin Middeldorf's information last updated?
The Jeffrey Edwin Middeldorf's information was last updated on 2013-12-10.
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