John David Booman in Spring Grove - Chiropractor
John David Booman - NPI 1336272392
John David Booman is a Chiropractor in Spring Grove, Minnesota. John David Booman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John David Booman is 1336272392. The last update date is 2007-07-09.
John David Booman's current location address is 13006 W Beaver Rd, Spring Grove, Minnesota. You can contact this provider via phone number 5074985445 and fax number 5074983577. The mailing address for John David Booman is 13006 W Beaver Rd, Spring Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John David Booman |
|---|---|
| Address | 13006 W Beaver Rd, Spring Grove, Minnesota |
| Phone Number | 5074985445 |
| Fax Number | 5074983577 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1336272392 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 13006 W Beaver Rd |
|---|---|
| City | Spring Grove |
| State | Minnesota (MN) |
| Post Code | 559742463 |
| Phone Number | 5074985445 |
| Fax Number | 5074983577 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2367 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 231665 | MN | CHIRO CARE OF MN PROV NO. | |
| 06952BO | MN | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to John David Booman by the Centers for Medicare & Medicaid Services?
The John David Booman has been assigned the NPI (National Provider Identifier) 1336272392 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where John David Booman's facilities are situated?
The facilities of John David Booman are physically located at the following address: 13006 W Beaver Rd, Spring Grove, MN, 559742463.
What is John David Booman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John David Booman is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336272392 to John David Booman?
The Centers for Medicare & Medicaid Services originally issued the 1336272392 to John David Booman on 2007-03-13.
When was the information pertaining to John David Booman most recently updated or revised?
The details related to John David Booman, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.