Daniel Robert Gaustad in Minneapolis - Chiropractor
Daniel Robert Gaustad - NPI 1497828008
Daniel Robert Gaustad is a Chiropractor in Minneapolis, Minnesota. Daniel Robert Gaustad practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Daniel Robert Gaustad is 1497828008. The last update date is 2013-01-03.
Daniel Robert Gaustad's current location address is 2736 Lyndale Ave S, Minneapolis, Minnesota. You can contact this provider via phone number 6123271447 and fax number 6126773368. The mailing address for Daniel Robert Gaustad is 2736 Lyndale Ave S, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Robert Gaustad |
|---|---|
| Address | 2736 Lyndale Ave S, Minneapolis, Minnesota |
| Phone Number | 6123271447 |
| Fax Number | 6126773368 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1497828008 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2013-01-03 |
Provider Mailing Address Detail
| Address | 2736 Lyndale Ave S |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554081309 |
| Phone Number | 6123271447 |
| Fax Number | 6126773368 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4258 |
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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 identifier code issued to Daniel Robert Gaustad by the Centers for Medicare & Medicaid Services?
The Daniel Robert Gaustad has been assigned the NPI (National Provider Identifier) 1497828008. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Daniel Robert Gaustad's facilities are geographically located?
The facilities of Daniel Robert Gaustad are physically situated at the following location: 2736 Lyndale Ave S, Minneapolis, MN, 554081309.
What is the Daniel Robert Gaustad's specialty and taxonomy code?
The Daniel Robert Gaustad's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date was the 1497828008 assigned to Daniel Robert Gaustad?
The Daniel Robert Gaustad was issued its 1497828008 on 2006-11-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Daniel Robert Gaustad most recently updated or revised?
The information pertaining to Daniel Robert Gaustad, including its address, specialty, and other relevant details, was last updated or revised on 2013-01-03.
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