Bruce Pearson Pa in Plymouth - Chiropractor
Bruce Pearson Pa - NPI 1508032376
Bruce Pearson Pa is a Chiropractor in Plymouth, Minnesota. Bruce Pearson Pa practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bruce Pearson Pa is 1508032376. The last update date is 2009-03-25.
Bruce Pearson Pa's current location address is 3655 Plymouth Blvd, Plymouth, Minnesota. You can contact this provider via phone number 7634764770. The mailing address for Bruce Pearson Pa is 3655 Plymouth Blvd, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bruce Pearson Pa |
|---|---|
| Address | 3655 Plymouth Blvd, Plymouth, Minnesota |
| Phone Number | 7634764770 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR/OWN |
|---|---|
| Authorized Official Name | Pearson Bruce |
| Credentials | DC |
| Telephone Number | 7634764770 |
NPI Number Detail
| NPI Number | 1508032376 |
|---|---|
| Provider Enumeration Date | 2008-05-01 |
| Last Updated Date | 2009-03-25 |
Provider Mailing Address Detail
| Address | 3655 Plymouth Blvd |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554463664 |
| Phone Number | 7634764770 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3660 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40B51PE | MN | BLUE CROSS BLUE SHIELD |
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What is the unique 10-digit identifier code assigned to Bruce Pearson Pa by the Centers for Medicare & Medicaid Services?
The Bruce Pearson Pa has been issued the NPI (National Provider Identifier) 1508032376 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Bruce Pearson Pa located?
The Bruce Pearson Pa is located at 3655 Plymouth Blvd, Plymouth, MN 554463664.
What is the Bruce Pearson Pa's specialty and taxonomy code?
The Bruce Pearson Pa's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When did the Bruce Pearson Pa receive its 1508032376?
The Bruce Pearson Pa was issued its 1508032376 on 2008-05-01, which is the date when the organization was assigned this unique identifier.
As of what date were the Bruce Pearson Pa's details last updated?
The information pertaining to the Bruce Pearson Pa, including its address, specialty, and other details, was most recently updated on 2009-03-25.
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