Jack Victor Lundbohm in Roseau - Chiropractor
Jack Victor Lundbohm - NPI 1275632234
Jack Victor Lundbohm is a Chiropractor in Roseau, Minnesota. Jack Victor Lundbohm practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack Victor Lundbohm is 1275632234. The last update date is 2023-09-07.
Jack Victor Lundbohm's current location address is 317 2nd St Nw Ste A, Roseau, Minnesota. You can contact this provider via phone number 2184632992 and fax number 2184631229. The mailing address for Jack Victor Lundbohm is 317 2nd St Nw Ste A, Roseau, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Victor Lundbohm |
|---|---|
| Address | 317 2nd St Nw Ste A, Roseau, Minnesota |
| Phone Number | 2184632992 |
| Fax Number | 2184631229 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1275632234 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2023-09-07 |
Provider Mailing Address Detail
| Address | 317 2nd St Nw Ste A |
|---|---|
| City | Roseau |
| State | Minnesota (MN) |
| Post Code | 56751 |
| Phone Number | 2184632992 |
| Fax Number | 2184631229 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1792 |
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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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What is the unique 10-digit identifier code assigned to Jack Victor Lundbohm by the Centers for Medicare & Medicaid Services?
The Jack Victor Lundbohm has been issued the NPI (National Provider Identifier) 1275632234 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jack Victor Lundbohm?
The Jack Victor Lundbohm is situated at 317 2Nd St Nw Ste A, in the city of Roseau, state of MN, with the zip code 56751.
What is Jack Victor Lundbohm's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack Victor Lundbohm's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275632234 to Jack Victor Lundbohm?
The Centers for Medicare & Medicaid Services originally issued the 1275632234 to Jack Victor Lundbohm on 2006-09-22.
As of what date were the details pertaining to Jack Victor Lundbohm last refreshed?
The information related to the Jack Victor Lundbohm, including its address, specialty, and other relevant details, was last updated on 2023-09-07.
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