John Henry Desutter in Olive Branch - Chiropractor

John Henry Desutter - NPI 1780791202

John Henry Desutter is a Chiropractor in Olive Branch, Mississippi. John Henry Desutter practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John Henry Desutter is 1780791202. The last update date is 2007-07-08.

John Henry Desutter's current location address is 9659 E. Goodman Ave, Olive Branch, Mississippi. You can contact this provider via phone number 6628952501 and fax number 6628953464. The mailing address for John Henry Desutter is 9659 E. Goodman Ave, Olive Branch, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Name John Henry Desutter
Address 9659 E. Goodman Ave, Olive Branch, Mississippi
Phone Number 6628952501
Fax Number 6628953464
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1780791202
Provider Enumeration Date 2006-08-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 9659 E. Goodman Ave
City Olive Branch
State Mississippi (MS)
Post Code 38654
Phone Number 6628952501
Fax Number 6628953464

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 59
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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FAQs about John Henry Desutter

What is the unique provider identifier assigned to John Henry Desutter?

The John Henry Desutter has been issued the NPI (National Provider Identifier) 1780791202 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where John Henry Desutter is geographically located?

The John Henry Desutter is physically situated at the following location: 9659 E. Goodman Ave, Olive Branch, MS, 38654.

What is John Henry Desutter's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John Henry Desutter is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did John Henry Desutter receive its 1780791202 assignment from the Centers for Medicare & Medicaid Services?

The John Henry Desutter was assigned its 1780791202 on 2006-08-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to John Henry Desutter most recently updated or revised?

The information pertaining to John Henry Desutter, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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