Larry Steven Balsimo in White Bear Lake - Chiropractor
Larry Steven Balsimo - NPI 1619066875
Larry Steven Balsimo is a Chiropractor in White Bear Lake, Minnesota. Larry Steven Balsimo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larry Steven Balsimo is 1619066875. The last update date is 2007-07-08.
Larry Steven Balsimo's current location address is 4066 White Bear Ave N, White Bear Lake, Minnesota. You can contact this provider via phone number 6514070402 and fax number 6514070413. The mailing address for Larry Steven Balsimo is 4066 White Bear Ave N, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry Steven Balsimo |
|---|---|
| Address | 4066 White Bear Ave N, White Bear Lake, Minnesota |
| Phone Number | 6514070402 |
| Fax Number | 6514070413 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1619066875 |
|---|---|
| Provider Enumeration Date | 2006-10-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4066 White Bear Ave N |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551104305 |
| Phone Number | 6514070402 |
| Fax Number | 6514070413 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | #2606 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 302L1BA | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Larry Steven Balsimo by the Centers for Medicare & Medicaid Services?
The Larry Steven Balsimo has been assigned the NPI (National Provider Identifier) 1619066875 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Larry Steven Balsimo's facilities are geographically located?
The facilities of Larry Steven Balsimo are physically situated at the following location: 4066 White Bear Ave N, White Bear Lake, MN, 551104305.
What is Larry Steven Balsimo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Larry Steven Balsimo is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did Larry Steven Balsimo receive its 1619066875 assignment from the Centers for Medicare & Medicaid Services?
The Larry Steven Balsimo was assigned its 1619066875 on 2006-10-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Larry Steven Balsimo most recently updated?
The details pertaining to the Larry Steven Balsimo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.