Lucedale Chiropractic Clinic, P.A. in Lucedale - Chiropractor
Lucedale Chiropractic Clinic, P.A. - NPI 1861690067
Lucedale Chiropractic Clinic, P.A. is a Chiropractor in Lucedale, Mississippi. Lucedale Chiropractic Clinic, P.A. practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Lucedale Chiropractic Clinic, P.A. is 1861690067. The last update date is 2010-10-28.
Lucedale Chiropractic Clinic, P.A.'s current location address is 789 Winter St, Lucedale, Mississippi. You can contact this provider via phone number 6019478472 and fax number 6019471672. The mailing address for Lucedale Chiropractic Clinic, P.A. is 789 Winter St, Lucedale, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lucedale Chiropractic Clinic, P.A. |
|---|---|
| Address | 789 Winter St, Lucedale, Mississippi |
| Phone Number | 6019478472 |
| Fax Number | 6019471672 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schultz Alan David |
| Credentials | D.C. |
| Telephone Number | 6019478472 |
NPI Number Detail
| NPI Number | 1861690067 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2010-10-28 |
Provider Mailing Address Detail
| Address | 789 Winter St |
|---|---|
| City | Lucedale |
| State | Mississippi (MS) |
| Post Code | 394525729 |
| Phone Number | 6019478472 |
| Fax Number | 6019471672 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 610 |
|
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 |
|---|---|---|---|
| 6421772 | MS | -- | |
| C02839 | MS | MEDICARE GROUP # |
Post Comment/ Review Below
What is the Lucedale Chiropractic Clinic, P.A.'s unique identification number?
The Lucedale Chiropractic Clinic, P.A. has been assigned the NPI (National Provider Identifier) Number 1861690067 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Lucedale Chiropractic Clinic, P.A. is physically located?
The Lucedale Chiropractic Clinic, P.A. is situated at the following address: 789 Winter St, Lucedale, MS 394525729.
What is Lucedale Chiropractic Clinic, P.A.'s area of expertise and its corresponding taxonomy classification?
The Lucedale Chiropractic Clinic, P.A.'s field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lucedale Chiropractic Clinic, P.A. receive its 1861690067 assignment from the Centers for Medicare & Medicaid Services?
The Lucedale Chiropractic Clinic, P.A. was assigned its 1861690067 by the Centers for Medicare & Medicaid Services on 2007-07-10.
When was the information related to Lucedale Chiropractic Clinic, P.A. most recently updated or refreshed?
The details pertaining to the Lucedale Chiropractic Clinic, P.A., including its address, specialty, and other relevant information, were last updated or refreshed on 2010-10-28.
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