Steven Nicholas Fideldy in Grand Rapids - Chiropractor
Steven Nicholas Fideldy - NPI 1972524981
Steven Nicholas Fideldy is a Chiropractor in Grand Rapids, Minnesota. Steven Nicholas Fideldy practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Steven Nicholas Fideldy is 1972524981. The last update date is 2007-07-08.
Steven Nicholas Fideldy's current location address is 118 Ne 11th Ave, Grand Rapids, Minnesota. You can contact this provider via phone number 2183263603 and fax number 2183263606. The mailing address for Steven Nicholas Fideldy is 118 Ne 11th Ave, Grand Rapids, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steven Nicholas Fideldy |
|---|---|
| Address | 118 Ne 11th Ave, Grand Rapids, Minnesota |
| Phone Number | 2183263603 |
| Fax Number | 2183263606 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1972524981 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 118 Ne 11th Ave |
|---|---|
| City | Grand Rapids |
| State | Minnesota (MN) |
| Post Code | 557443286 |
| Phone Number | 2183263603 |
| Fax Number | 2183263606 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4175 |
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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 |
|---|---|---|---|
| 62M82AL | MN | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Steven Nicholas Fideldy by the Centers for Medicare & Medicaid Services?
The Steven Nicholas Fideldy has been issued the NPI (National Provider Identifier) 1972524981, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Steven Nicholas Fideldy is physically located?
The Steven Nicholas Fideldy is physically situated at the following address: 118 Ne 11Th Ave, Grand Rapids, MN, 557443286.
What is Steven Nicholas Fideldy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Steven Nicholas Fideldy's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Steven Nicholas Fideldy receive its 1972524981 assignment from the Centers for Medicare & Medicaid Services?
The Steven Nicholas Fideldy was assigned its 1972524981 by the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the Steven Nicholas Fideldy's details last updated?
The information pertaining to the Steven Nicholas Fideldy, including its address, specialty, and other details, was most recently updated on 2007-07-08.