Jason Corey Goodman in Saint Charles - Chiropractor
Jason Corey Goodman - NPI 1912046889
Jason Corey Goodman is a Chiropractor in Saint Charles, Missouri. Jason Corey Goodman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jason Corey Goodman is 1912046889. The last update date is 2008-10-21.
Jason Corey Goodman's current location address is 27 Walnut Knoll Ct, Saint Charles, Missouri. You can contact this provider via phone number 6362442250. The mailing address for Jason Corey Goodman is 27 Walnut Knoll Ct, Saint Charles, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Corey Goodman |
|---|---|
| Address | 27 Walnut Knoll Ct, Saint Charles, Missouri |
| Phone Number | 6362442250 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1912046889 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2008-10-21 |
Provider Mailing Address Detail
| Address | 27 Walnut Knoll Ct |
|---|---|
| City | Saint Charles |
| State | Missouri (MO) |
| Post Code | 633044549 |
| Phone Number | 6362442250 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6691 |
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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 10-digit identifier code assigned to Jason Corey Goodman by the Centers for Medicare & Medicaid Services?
The Jason Corey Goodman has been issued the NPI (National Provider Identifier) 1912046889 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jason Corey Goodman is located?
The Jason Corey Goodman is situated at the following address: 27 Walnut Knoll Ct, Saint Charles, MO, 633044549.
What is Jason Corey Goodman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jason Corey Goodman is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1912046889 to Jason Corey Goodman?
The Centers for Medicare & Medicaid Services assigned the 1912046889 to Jason Corey Goodman on 2007-02-06.
As of what date were the details related to Jason Corey Goodman most recently updated or revised?
The information pertaining to Jason Corey Goodman, including its address, specialty, and other relevant details, was last updated or revised on 2008-10-21.
NPI Number: 1235130048
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