Chris A Ketchmark in Sandstone - Chiropractor
Chris A Ketchmark - NPI 1710068838
Chris A Ketchmark is a Chiropractor in Sandstone, Minnesota. Chris A Ketchmark practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Chris A Ketchmark is 1710068838. The last update date is 2007-07-09.
Chris A Ketchmark's current location address is 301 N Commercial Ave, Sandstone, Minnesota. You can contact this provider via phone number 3202452499 and fax number 3202452539. The mailing address for Chris A Ketchmark is 301 N Commercial Ave, Sandstone, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris A Ketchmark |
|---|---|
| Address | 301 N Commercial Ave, Sandstone, Minnesota |
| Phone Number | 3202452499 |
| Fax Number | 3202452539 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710068838 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 301 N Commercial Ave |
|---|---|
| City | Sandstone |
| State | Minnesota (MN) |
| Post Code | 55072 |
| Phone Number | 3202452499 |
| Fax Number | 3202452539 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3570 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 370 | HSM | ||
| 00B12NO | MN | BCBSM | |
| 4400039 | MN | MEDICA |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Chris A Ketchmark by the Centers for Medicare & Medicaid Services?
The Chris A Ketchmark has been assigned the NPI (National Provider Identifier) 1710068838 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Chris A Ketchmark is physically located?
The Chris A Ketchmark is physically situated at the following address: 301 N Commercial Ave, Sandstone, MN, 55072.
What is Chris A Ketchmark's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Chris A Ketchmark is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When was the Chris A Ketchmark's 1710068838 issued?
The Chris A Ketchmark's 1710068838 was issued on 2006-10-17.
As of what date was the information pertaining to Chris A Ketchmark, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Chris A Ketchmark, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-09.