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 |
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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 |
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Provider Enumeration Date | 2007-05-04 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 6642 Penn Ave S |
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City | Richfield |
State | Minnesota (MN) |
Post Code | 554232026 |
Phone Number | 6128612752 |
Fax Number | 6128612752 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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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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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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