Big Lake Spine & Sport, Pa in Monticello - Chiropractor
Big Lake Spine & Sport, Pa - NPI 1295747889
Big Lake Spine & Sport, Pa is a Chiropractor in Monticello, Minnesota. Big Lake Spine & Sport, Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Big Lake Spine & Sport, Pa is 1295747889. The last update date is 2019-10-18.
Big Lake Spine & Sport, Pa's current location address is 1260 Highway 25 S, Monticello, Minnesota. You can contact this provider via phone number 7632608401 and fax number 7632635900. The mailing address for Big Lake Spine & Sport, Pa is 1260 Highway 25 S, Monticello, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Big Lake Spine & Sport, Pa |
|---|---|
| Address | 1260 Highway 25 S, Monticello, Minnesota |
| Phone Number | 7632608401 |
| Fax Number | 7632635900 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Mickle E Bill |
| Credentials | DC |
| Telephone Number | 7632608401 |
NPI Number Detail
| NPI Number | 1295747889 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2019-10-18 |
Provider Mailing Address Detail
| Address | 1260 Highway 25 S |
|---|---|
| City | Monticello |
| State | Minnesota (MN) |
| Post Code | 553628921 |
| Phone Number | 7632608401 |
| Fax Number | 7632635900 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3548 |
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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 Big Lake Spine & Sport, Pa's 1295747889?
The Big Lake Spine & Sport, Pa's NPI (National Provider Identifier) Number is 1295747889. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Big Lake Spine & Sport, Pa is geographically located?
The Big Lake Spine & Sport, Pa is physically situated at the following location: 1260 Highway 25 S, Monticello, MN, 553628921.
What is Big Lake Spine & Sport, Pa's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Big Lake Spine & Sport, Pa is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
When did Big Lake Spine & Sport, Pa receive its 1295747889 assignment?
The Big Lake Spine & Sport, Pa was assigned its 1295747889 on 2006-08-12, which is the date when this unique identifier was issued to the organization.
When was the information related to Big Lake Spine & Sport, Pa most recently updated or refreshed?
The details pertaining to the Big Lake Spine & Sport, Pa, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-18.