Craig Roy Kaddatz is a Chiropractor in Canby, Minnesota. Craig Roy Kaddatz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Craig Roy Kaddatz is 1003883034. The last update date is 2022-07-21.
Craig Roy Kaddatz's current location address is 130 1st Street W #108, Canby, Minnesota. You can contact this provider via phone number 5072337366 and fax number 5072237366. The mailing address for Craig Roy Kaddatz is 130 1st Street W #108, Canby, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Roy Kaddatz |
|---|---|
| Address | 130 1st Street W #108, Canby, Minnesota |
| Phone Number | 5072337366 |
| Fax Number | 5072237366 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1003883034 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 130 1st Street W #108 |
|---|---|
| City | Canby |
| State | Minnesota (MN) |
| Post Code | 562201145 |
| Phone Number | 5072337366 |
| Fax Number | 5072237366 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2538 |
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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 |
|---|---|---|---|
| 851 | MN | HSM ID | |
| 22124 | SVHP ID | ||
| 7603720 | MN | -- | |
| 1DO74KA | MN | BCBS INDIVIDUAL ID | |
| 15097 | MIDLANDS CHOICE ID | ||
| 59873KA | MN | BCBS GROUP ID | |
| 602028300 | MN | -- | |
| 2038 | DAKOTACARE ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Craig Roy Kaddatz by the Centers for Medicare & Medicaid Services?
The Craig Roy Kaddatz has been assigned the NPI (National Provider Identifier) 1003883034 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Craig Roy Kaddatz?
The Craig Roy Kaddatz is situated at 130 1St Street W #108, in the city of Canby, state of MN, with the zip code 562201145.
What is Craig Roy Kaddatz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Craig Roy Kaddatz is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did the Craig Roy Kaddatz receive its 1003883034?
The Craig Roy Kaddatz was issued its 1003883034 on 2006-03-08, which is the date when the organization was assigned this unique identifier.
When was the information related to Craig Roy Kaddatz most recently updated or refreshed?
The details pertaining to the Craig Roy Kaddatz, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.