Jeffrey John Wisdo in Woodbury - Chiropractor
Jeffrey John Wisdo - NPI 1124060017
Jeffrey John Wisdo is a Chiropractor in Woodbury, Minnesota. Jeffrey John Wisdo practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey John Wisdo is 1124060017. The last update date is 2007-07-08.
Jeffrey John Wisdo's current location address is 7060 Valley Creek Plz, Woodbury, Minnesota. You can contact this provider via phone number 6517358646 and fax number 6517309210. The mailing address for Jeffrey John Wisdo is 7060 Valley Creek Plz, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey John Wisdo |
|---|---|
| Address | 7060 Valley Creek Plz, Woodbury, Minnesota |
| Phone Number | 6517358646 |
| Fax Number | 6517309210 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1124060017 |
|---|---|
| Provider Enumeration Date | 2006-06-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7060 Valley Creek Plz |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551252269 |
| Phone Number | 6517358646 |
| Fax Number | 6517309210 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4705 |
|
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 |
|---|---|---|---|
| 724T6WI | MN | BLUE CROSS |
Post Comment/ Review Below
What is the Jeffrey John Wisdo's unique identification number?
The Jeffrey John Wisdo has been assigned the NPI (National Provider Identifier) Number 1124060017 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Jeffrey John Wisdo is geographically located?
The Jeffrey John Wisdo is physically situated at the following location: 7060 Valley Creek Plz, Woodbury, MN, 551252269.
What is Jeffrey John Wisdo's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey John Wisdo is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date was the 1124060017 assigned to Jeffrey John Wisdo?
The Jeffrey John Wisdo was issued its 1124060017 on 2006-06-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Jeffrey John Wisdo most recently updated or revised?
The information pertaining to Jeffrey John Wisdo, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.