T S Watson Dc Pa in Minneapolis - Chiropractor
T S Watson Dc Pa - NPI 1902969397
T S Watson Dc Pa is a Chiropractor in Minneapolis, Minnesota. T S Watson Dc Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for T S Watson Dc Pa is 1902969397. The last update date is 2020-08-22.
T S Watson Dc Pa's current location address is 3107 Penn Avenue North, Minneapolis, Minnesota. You can contact this provider via phone number 6125211386 and fax number 6125211926. The mailing address for T S Watson Dc Pa is 3107 Penn Avenue North, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | T S Watson Dc Pa |
|---|---|
| Address | 3107 Penn Avenue North, Minneapolis, Minnesota |
| Phone Number | 6125211386 |
| Fax Number | 6125211926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Watson Selene Tara |
| Credentials | DC |
| Telephone Number | 6125211386 |
NPI Number Detail
| NPI Number | 1902969397 |
|---|---|
| Provider Enumeration Date | 2006-12-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3107 Penn Avenue North |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 55411 |
| Phone Number | 6125211386 |
| Fax Number | 6125211926 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4266 |
|
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 |
|---|---|---|---|
| 97J00 | MN | HEALTH PARTNERS | |
| 229L5WA | MN | BCBS |
Post Comment/ Review Below
What is the unique identifier code issued to T S Watson Dc Pa by the Centers for Medicare & Medicaid Services?
The T S Watson Dc Pa has been assigned the NPI (National Provider Identifier) 1902969397. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where T S Watson Dc Pa's facilities are situated?
The facilities of T S Watson Dc Pa are physically located at the following address: 3107 Penn Avenue North, Minneapolis, MN, 55411.
What is the T S Watson Dc Pa's specialty and taxonomy code?
The T S Watson Dc Pa's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1902969397 to T S Watson Dc Pa?
The T S Watson Dc Pa received its 1902969397 assignment from the Centers for Medicare & Medicaid Services on 2006-12-18.
As of what date were the details related to T S Watson Dc Pa most recently updated or revised?
The information pertaining to T S Watson Dc Pa, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1902809924
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