Jerrold Richard Wildenauer in West Saint Paul - Chiropractor
Jerrold Richard Wildenauer - NPI 1720091051
Jerrold Richard Wildenauer is a Chiropractor in West Saint Paul, Minnesota. Jerrold Richard Wildenauer practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jerrold Richard Wildenauer is 1720091051. The last update date is 2007-07-08.
Jerrold Richard Wildenauer's current location address is 1525 Livingston Ave, West Saint Paul, Minnesota. You can contact this provider via phone number 6514555264 and fax number 6514551172. The mailing address for Jerrold Richard Wildenauer is 1525 Livingston Ave, West Saint Paul, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerrold Richard Wildenauer |
|---|---|
| Address | 1525 Livingston Ave, West Saint Paul, Minnesota |
| Phone Number | 6514555264 |
| Fax Number | 6514551172 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1720091051 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1525 Livingston Ave |
|---|---|
| City | West Saint Paul |
| State | Minnesota (MN) |
| Post Code | 551183411 |
| Phone Number | 6514555264 |
| Fax Number | 6514551172 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1475 |
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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 issued to Jerrold Richard Wildenauer by the Centers for Medicare & Medicaid Services?
The Jerrold Richard Wildenauer has been assigned the NPI (National Provider Identifier) 1720091051 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jerrold Richard Wildenauer located?
The Jerrold Richard Wildenauer is located at 1525 Livingston Ave, West Saint Paul, MN 551183411.
What is Jerrold Richard Wildenauer's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerrold Richard Wildenauer's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Jerrold Richard Wildenauer receive the assignment of its 1720091051 from the Centers for Medicare & Medicaid Services?
The Jerrold Richard Wildenauer was issued its 1720091051 by the Centers for Medicare & Medicaid Services on 2006-08-15.
As of what date was the information regarding Jerrold Richard Wildenauer, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerrold Richard Wildenauer, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1982607784
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