Ross Alan Bertilson in Fridley - Chiropractor
Ross Alan Bertilson - NPI 1689711574
Ross Alan Bertilson is a Chiropractor in Fridley, Minnesota. Ross Alan Bertilson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ross Alan Bertilson is 1689711574. The last update date is 2022-08-12.
Ross Alan Bertilson's current location address is 7872 University Ave Ne, Fridley, Minnesota. You can contact this provider via phone number 7637804300 and fax number 7637803789. The mailing address for Ross Alan Bertilson is 7872 University Ave Ne, Fridley, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ross Alan Bertilson |
|---|---|
| Address | 7872 University Ave Ne, Fridley, Minnesota |
| Phone Number | 7637804300 |
| Fax Number | 7637803789 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1689711574 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2022-08-12 |
Provider Mailing Address Detail
| Address | 7872 University Ave Ne |
|---|---|
| City | Fridley |
| State | Minnesota (MN) |
| Post Code | 55432 |
| Phone Number | 7637804300 |
| Fax Number | 7637803789 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3269 |
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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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What is the unique provider identifier assigned to Ross Alan Bertilson?
The Ross Alan Bertilson has been issued the NPI (National Provider Identifier) 1689711574 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Ross Alan Bertilson's physical address?
The Ross Alan Bertilson is physically located at 7872 University Ave Ne, in the city of Fridley, MN, with the postal code 55432.
What is Ross Alan Bertilson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ross Alan Bertilson is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689711574 to Ross Alan Bertilson?
The Centers for Medicare & Medicaid Services originally issued the 1689711574 to Ross Alan Bertilson on 2007-01-31.
As of what date were the details pertaining to Ross Alan Bertilson last refreshed?
The information related to the Ross Alan Bertilson, including its address, specialty, and other relevant details, was last updated on 2022-08-12.
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