David Leland Fandrich in Champlin - Chiropractor
David Leland Fandrich - NPI 1093854374
David Leland Fandrich is a Chiropractor in Champlin, Minnesota. David Leland Fandrich practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for David Leland Fandrich is 1093854374. The last update date is 2018-04-24.
David Leland Fandrich's current location address is 11452 Jefferson Ct, Champlin, Minnesota. You can contact this provider via phone number 7634275545. The mailing address for David Leland Fandrich is 11452 Jefferson Ct, Champlin, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Leland Fandrich |
|---|---|
| Address | 11452 Jefferson Ct, Champlin, Minnesota |
| Phone Number | 7634275545 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1093854374 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2018-04-24 |
Provider Mailing Address Detail
| Address | 11452 Jefferson Ct |
|---|---|
| City | Champlin |
| State | Minnesota (MN) |
| Post Code | 553162737 |
| Phone Number | 7634275545 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4911 |
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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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Post Comment/ Review Below
What is the David Leland Fandrich's 1093854374?
The David Leland Fandrich's NPI (National Provider Identifier) Number is 1093854374. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David Leland Fandrich's physical address?
The David Leland Fandrich is physically located at 11452 Jefferson Ct, in the city of Champlin, MN, with the postal code 553162737.
What is the David Leland Fandrich's area of specialization and corresponding taxonomy classification?
The David Leland Fandrich's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1093854374 to David Leland Fandrich?
The David Leland Fandrich received its 1093854374 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.
As of what date was the information pertaining to David Leland Fandrich, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Leland Fandrich, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-04-24.
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