John Derrick Marlow in Richfield - Chiropractor

John Derrick Marlow - NPI 1033321096

John Derrick Marlow is a Chiropractor in Richfield, Minnesota. John Derrick Marlow practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Derrick Marlow is 1033321096. The last update date is 2007-07-08.

John Derrick Marlow's current location address is 6642 Penn Ave S, Richfield, Minnesota. You can contact this provider via phone number 6128612752 and fax number 6128612752. The mailing address for John Derrick Marlow is 6642 Penn Ave S, Richfield, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name John Derrick Marlow
Address 6642 Penn Ave S, Richfield, Minnesota
Phone Number 6128612752
Fax Number 6128612752
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1033321096
Provider Enumeration Date 2007-05-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6642 Penn Ave S
City Richfield
State Minnesota (MN)
Post Code 554232026
Phone Number 6128612752
Fax Number 6128612752

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2891
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
4C298MA MN BLUE CROSS PROVIDER
4C297S0 MN BLUE CROSS CLINIC NUMBER

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FAQs about John Derrick Marlow

What is the unique 10-digit identification code assigned to John Derrick Marlow by the Centers for Medicare & Medicaid Services?

The John Derrick Marlow has been issued the NPI (National Provider Identifier) 1033321096, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of John Derrick Marlow?

The John Derrick Marlow is physically situated at 6642 Penn Ave S, in the city of Richfield, state of MN, with the postal code 554232026.

What is John Derrick Marlow's area of expertise and its corresponding taxonomy classification?

The John Derrick Marlow's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the John Derrick Marlow receive the assignment of its 1033321096 from the Centers for Medicare & Medicaid Services?

The John Derrick Marlow was issued its 1033321096 by the Centers for Medicare & Medicaid Services on 2007-05-04.

When was the information regarding John Derrick Marlow most recently updated?

The details pertaining to the John Derrick Marlow, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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