Mitchel Vincent Mondo in White Bear Lake - Chiropractor
Mitchel Vincent Mondo - NPI 1730289885
Mitchel Vincent Mondo is a Chiropractor in White Bear Lake, Minnesota. Mitchel Vincent Mondo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mitchel Vincent Mondo is 1730289885. The last update date is 2007-07-08.
Mitchel Vincent Mondo's current location address is 1310 Highway 96 E, White Bear Lake, Minnesota. You can contact this provider via phone number 6514290101 and fax number 6514073163. The mailing address for Mitchel Vincent Mondo is 1310 Highway 96 E, White Bear Lake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mitchel Vincent Mondo |
|---|---|
| Address | 1310 Highway 96 E, White Bear Lake, Minnesota |
| Phone Number | 6514290101 |
| Fax Number | 6514073163 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1730289885 |
|---|---|
| Provider Enumeration Date | 2006-09-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1310 Highway 96 E |
|---|---|
| City | White Bear Lake |
| State | Minnesota (MN) |
| Post Code | 551103624 |
| Phone Number | 6514290101 |
| Fax Number | 6514073163 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1928 |
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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 |
|---|---|---|---|
| 274827400 | MN | MEDICAL ASSISTANCE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mitchel Vincent Mondo?
The Mitchel Vincent Mondo has been issued the NPI (National Provider Identifier) 1730289885 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Mitchel Vincent Mondo is physically located?
The Mitchel Vincent Mondo is situated at the following address: 1310 Highway 96 E, White Bear Lake, MN 551103624.
What is the Mitchel Vincent Mondo's specialty and taxonomy code?
The Mitchel Vincent Mondo's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1730289885 to Mitchel Vincent Mondo?
The Centers for Medicare & Medicaid Services originally issued the 1730289885 to Mitchel Vincent Mondo on 2006-09-25.
When was the information regarding Mitchel Vincent Mondo most recently updated?
The details pertaining to the Mitchel Vincent Mondo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.