Scott Theodor Godbersen in Neosho - Chiropractor
Scott Theodor Godbersen - NPI 1215940440
Scott Theodor Godbersen is a Chiropractor in Neosho, Missouri. Scott Theodor Godbersen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Scott Theodor Godbersen is 1215940440. The last update date is 2015-04-06.
Scott Theodor Godbersen's current location address is 1400 Waldo Halter Mem Dr, Neosho, Missouri. You can contact this provider via phone number 4174551025 and fax number 4174552273. The mailing address for Scott Theodor Godbersen is 1400 Waldo Halter Mem Dr, Neosho, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Scott Theodor Godbersen |
|---|---|
| Address | 1400 Waldo Halter Mem Dr, Neosho, Missouri |
| Phone Number | 4174551025 |
| Fax Number | 4174552273 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1215940440 |
|---|---|
| Provider Enumeration Date | 2006-08-15 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 1400 Waldo Halter Mem Dr |
|---|---|
| City | Neosho |
| State | Missouri (MO) |
| Post Code | 648502034 |
| Phone Number | 4174551025 |
| Fax Number | 4174552273 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4833 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Scott Theodor Godbersen by the Centers for Medicare & Medicaid Services (CMS)?
The Scott Theodor Godbersen has been assigned the NPI (National Provider Identifier) 1215940440. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Scott Theodor Godbersen is geographically located?
The Scott Theodor Godbersen is physically situated at the following location: 1400 Waldo Halter Mem Dr, Neosho, MO, 648502034.
What is Scott Theodor Godbersen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Scott Theodor Godbersen's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Scott Theodor Godbersen receive the assignment of its 1215940440 from the Centers for Medicare & Medicaid Services?
The Scott Theodor Godbersen was issued its 1215940440 by the Centers for Medicare & Medicaid Services on 2006-08-15.
When was the information pertaining to Scott Theodor Godbersen most recently updated or revised?
The details related to Scott Theodor Godbersen, including its address, specialty, and other relevant information, were last updated or revised on 2015-04-06.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN