Mark Greggery August Mortensen in Winthrop - Chiropractor
Mark Greggery August Mortensen - NPI 1972558195
Mark Greggery August Mortensen is a Chiropractor in Winthrop, Minnesota. Mark Greggery August Mortensen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mark Greggery August Mortensen is 1972558195. The last update date is 2023-06-29.
Mark Greggery August Mortensen's current location address is Po Box 175, Winthrop, Minnesota. You can contact this provider via phone number 5076473700. The mailing address for Mark Greggery August Mortensen is Po Box 175, Winthrop, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Greggery August Mortensen |
|---|---|
| Address | Po Box 175, Winthrop, Minnesota |
| Phone Number | 5076473700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1972558195 |
|---|---|
| Provider Enumeration Date | 2006-05-24 |
| Last Updated Date | 2023-06-29 |
Provider Mailing Address Detail
| Address | Po Box 175 |
|---|---|
| City | Winthrop |
| State | Minnesota (MN) |
| Post Code | 553960175 |
| Phone Number | 5076473700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4536 |
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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 identification code assigned to Mark Greggery August Mortensen by the Centers for Medicare & Medicaid Services?
The Mark Greggery August Mortensen has been issued the NPI (National Provider Identifier) 1972558195. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark Greggery August Mortensen is physically located?
The Mark Greggery August Mortensen is situated at the following address: Po Box 175, Winthrop, MN 553960175.
What is Mark Greggery August Mortensen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mark Greggery August Mortensen'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 Mark Greggery August Mortensen receive the assignment of its 1972558195 from the Centers for Medicare & Medicaid Services?
The Mark Greggery August Mortensen was issued its 1972558195 by the Centers for Medicare & Medicaid Services on 2006-05-24.
When was the information regarding Mark Greggery August Mortensen most recently updated?
The details pertaining to the Mark Greggery August Mortensen, including its address, specialty, and other relevant information, were last refreshed on 2023-06-29.