Jacob John Roethler in Worthington - Chiropractor
Jacob John Roethler - NPI 1386742906
Jacob John Roethler is a Chiropractor in Worthington, Minnesota. Jacob John Roethler practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jacob John Roethler is 1386742906. The last update date is 2007-07-08.
Jacob John Roethler's current location address is 1301 Diagonal Rd, Worthington, Minnesota. You can contact this provider via phone number 5073769663 and fax number 5073769663. The mailing address for Jacob John Roethler is 1301 Diagonal Rd, Worthington, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob John Roethler |
|---|---|
| Address | 1301 Diagonal Rd, Worthington, Minnesota |
| Phone Number | 5073769663 |
| Fax Number | 5073769663 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1386742906 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1301 Diagonal Rd |
|---|---|
| City | Worthington |
| State | Minnesota (MN) |
| Post Code | 561871114 |
| Phone Number | 5073769663 |
| Fax Number | 5073769663 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4388 |
|
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 |
|---|---|---|---|
| 072H1RO | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jacob John Roethler?
The Jacob John Roethler has been issued the NPI (National Provider Identifier) 1386742906 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Jacob John Roethler's facilities are geographically located?
The facilities of Jacob John Roethler are physically situated at the following location: 1301 Diagonal Rd, Worthington, MN, 561871114.
What is the Jacob John Roethler's area of specialization and corresponding taxonomy classification?
The Jacob John Roethler's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1386742906 to Jacob John Roethler?
The Jacob John Roethler received its 1386742906 assignment from the Centers for Medicare & Medicaid Services on 2006-09-20.
When was the information related to Jacob John Roethler most recently updated or refreshed?
The details pertaining to the Jacob John Roethler, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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