Randall Wayne Lish in Bemidji - Chiropractor
Randall Wayne Lish - NPI 1952471633
Randall Wayne Lish is a Chiropractor in Bemidji, Minnesota. Randall Wayne Lish practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Randall Wayne Lish is 1952471633. The last update date is 2007-07-09.
Randall Wayne Lish's current location address is 3315 Bemidji Ave N, Bemidji, Minnesota. You can contact this provider via phone number 2184442225 and fax number 2184447225. The mailing address for Randall Wayne Lish is 3315 Bemidji Ave N, Bemidji, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Wayne Lish |
|---|---|
| Address | 3315 Bemidji Ave N, Bemidji, Minnesota |
| Phone Number | 2184442225 |
| Fax Number | 2184447225 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1952471633 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 3315 Bemidji Ave N |
|---|---|
| City | Bemidji |
| State | Minnesota (MN) |
| Post Code | 566014330 |
| Phone Number | 2184442225 |
| Fax Number | 2184447225 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3170 |
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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 |
|---|---|---|---|
| 78B72LI | MN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to Randall Wayne Lish by the Centers for Medicare & Medicaid Services (CMS)?
The Randall Wayne Lish has been assigned the NPI (National Provider Identifier) 1952471633. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Randall Wayne Lish's facilities are situated?
The facilities of Randall Wayne Lish are physically located at the following address: 3315 Bemidji Ave N, Bemidji, MN, 566014330.
What is Randall Wayne Lish's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Randall Wayne Lish is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Randall Wayne Lish receive the assignment of its 1952471633 from the Centers for Medicare & Medicaid Services?
The Randall Wayne Lish was issued its 1952471633 by the Centers for Medicare & Medicaid Services on 2006-11-09.
As of what date were the details related to Randall Wayne Lish most recently updated or revised?
The information pertaining to Randall Wayne Lish, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.