Clyde William Sellers in Sullivan - Chiropractor
Clyde William Sellers - NPI 1033261649
Clyde William Sellers is a Chiropractor in Sullivan, Missouri. Clyde William Sellers practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clyde William Sellers is 1033261649. The last update date is 2007-07-08.
Clyde William Sellers's current location address is 405 Wal-mart Dr., Sullivan, Missouri. You can contact this provider via phone number 5734688884 and fax number 5734688886. The mailing address for Clyde William Sellers is 405 Wal-mart Dr., Sullivan, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde William Sellers |
|---|---|
| Address | 405 Wal-mart Dr., Sullivan, Missouri |
| Phone Number | 5734688884 |
| Fax Number | 5734688886 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1033261649 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 405 Wal-mart Dr. |
|---|---|
| City | Sullivan |
| State | Missouri (MO) |
| Post Code | 63080 |
| Phone Number | 5734688884 |
| Fax Number | 5734688886 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6772 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 122127 | MO | BLUE CROSS BLUE SHIELD | |
| 405868 | MO | HEALTHLINK |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Clyde William Sellers by the Centers for Medicare & Medicaid Services?
The Clyde William Sellers has been assigned the NPI (National Provider Identifier) 1033261649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Clyde William Sellers's facilities are geographically located?
The facilities of Clyde William Sellers are physically situated at the following location: 405 Wal-Mart Dr., Sullivan, MO, 63080.
What is Clyde William Sellers's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Clyde William Sellers is Chiropractor, and the corresponding taxonomy classification code for this specialized field is 111N00000X.
On what date did the Clyde William Sellers receive its 1033261649 assignment from the Centers for Medicare & Medicaid Services?
The Clyde William Sellers was assigned its 1033261649 by the Centers for Medicare & Medicaid Services on 2007-01-17.
When was the information regarding Clyde William Sellers most recently updated?
The details pertaining to the Clyde William Sellers, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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