Thomas Carl Mickelson in Thief River Falls - Chiropractor
Thomas Carl Mickelson - NPI 1396815718
Thomas Carl Mickelson is a Chiropractor in Thief River Falls, Minnesota. Thomas Carl Mickelson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas Carl Mickelson is 1396815718. The last update date is 2017-01-18.
Thomas Carl Mickelson's current location address is Po Box 387, Thief River Falls, Minnesota. You can contact this provider via phone number 2186814574 and fax number 2186814594. The mailing address for Thomas Carl Mickelson is Po Box 387, Thief River Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Carl Mickelson |
|---|---|
| Address | Po Box 387, Thief River Falls, Minnesota |
| Phone Number | 2186814574 |
| Fax Number | 2186814594 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1396815718 |
|---|---|
| Provider Enumeration Date | 2006-11-09 |
| Last Updated Date | 2017-01-18 |
Provider Mailing Address Detail
| Address | Po Box 387 |
|---|---|
| City | Thief River Falls |
| State | Minnesota (MN) |
| Post Code | 567010387 |
| Phone Number | 2186814574 |
| Fax Number | 2186814594 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1695 |
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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 |
|---|---|---|---|
| 705027500 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Thomas Carl Mickelson by the Centers for Medicare & Medicaid Services?
The Thomas Carl Mickelson has been issued the NPI (National Provider Identifier) 1396815718 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 Thomas Carl Mickelson?
The Thomas Carl Mickelson is situated at Po Box 387, in the city of Thief River Falls, state of MN, with the zip code 567010387.
What is Thomas Carl Mickelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Carl Mickelson'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 1396815718 to Thomas Carl Mickelson?
The Centers for Medicare & Medicaid Services originally issued the 1396815718 to Thomas Carl Mickelson on 2006-11-09.
As of what date was the information regarding Thomas Carl Mickelson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Thomas Carl Mickelson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-01-18.
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