Fredrick Paul Pacovsky in Plymouth - Chiropractor
Fredrick Paul Pacovsky - NPI 1811107667
Fredrick Paul Pacovsky is a Chiropractor in Plymouth, Minnesota. Fredrick Paul Pacovsky practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Fredrick Paul Pacovsky is 1811107667. The last update date is 2007-07-08.
Fredrick Paul Pacovsky's current location address is 13550 26th Ave N Ste 300, Plymouth, Minnesota. You can contact this provider via phone number 7635570101 and fax number 7635570828. The mailing address for Fredrick Paul Pacovsky is 13550 26th Ave N Ste 300, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fredrick Paul Pacovsky |
|---|---|
| Address | 13550 26th Ave N Ste 300, Plymouth, Minnesota |
| Phone Number | 7635570101 |
| Fax Number | 7635570828 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1811107667 |
|---|---|
| Provider Enumeration Date | 2007-05-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13550 26th Ave N Ste 300 |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554413650 |
| Phone Number | 7635570101 |
| Fax Number | 7635570828 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2676 |
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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 unique identifier code issued to Fredrick Paul Pacovsky by the Centers for Medicare & Medicaid Services (CMS)?
The Fredrick Paul Pacovsky has been assigned the NPI (National Provider Identifier) 1811107667. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Fredrick Paul Pacovsky is physically located?
The Fredrick Paul Pacovsky is physically situated at the following address: 13550 26Th Ave N Ste 300, Plymouth, MN, 554413650.
What is Fredrick Paul Pacovsky's specialized field of practice, and what is the corresponding taxonomy classification code?
The Fredrick Paul Pacovsky's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Fredrick Paul Pacovsky receive its 1811107667 assignment from the Centers for Medicare & Medicaid Services?
The Fredrick Paul Pacovsky was assigned its 1811107667 by the Centers for Medicare & Medicaid Services on 2007-05-23.
When was the information pertaining to Fredrick Paul Pacovsky most recently updated or revised?
The details related to Fredrick Paul Pacovsky, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.