Jo G Theisen is a Chiropractor in Brooklyn Park, Minnesota. Jo G Theisen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jo G Theisen is 1730262494. The last update date is 2022-01-11.
Jo G Theisen's current location address is 8465 W Broadway Ave, Brooklyn Park, Minnesota. You can contact this provider via phone number 7634247750 and fax number 7634243444. The mailing address for Jo G Theisen is 8465 W Broadway Ave, Brooklyn Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo G Theisen |
|---|---|
| Address | 8465 W Broadway Ave, Brooklyn Park, Minnesota |
| Phone Number | 7634247750 |
| Fax Number | 7634243444 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1730262494 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2022-01-11 |
Provider Mailing Address Detail
| Address | 8465 W Broadway Ave |
|---|---|
| City | Brooklyn Park |
| State | Minnesota (MN) |
| Post Code | 554452266 |
| Phone Number | 7634247750 |
| Fax Number | 7634243444 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2599 |
|
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 |
|---|---|---|---|
| 416728700 | MN | -- | |
| 1952484602 | NPI FACILITY |
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What is the unique 10-digit identifier code issued to Jo G Theisen by the Centers for Medicare & Medicaid Services?
The Jo G Theisen has been assigned the NPI (National Provider Identifier) 1730262494 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Jo G Theisen's facilities are situated?
The facilities of Jo G Theisen are physically located at the following address: 8465 W Broadway Ave, Brooklyn Park, MN, 554452266.
What is the Jo G Theisen's specialty and taxonomy code?
The Jo G Theisen's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Jo G Theisen receive its 1730262494 assignment from the Centers for Medicare & Medicaid Services?
The Jo G Theisen was assigned its 1730262494 by the Centers for Medicare & Medicaid Services on 2006-10-23.
When was the information related to Jo G Theisen most recently updated or refreshed?
The details pertaining to the Jo G Theisen, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-01-11.
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