Clark D Lundgren in Thompson Falls - Chiropractor
Clark D Lundgren - NPI 1376639633
Clark D Lundgren is a Chiropractor in Thompson Falls, Montana. Clark D Lundgren practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clark D Lundgren is 1376639633. The last update date is 2018-05-23.
Clark D Lundgren's current location address is Po Box 2084, Thompson Falls, Montana. You can contact this provider via phone number 4068275500 and fax number 4068271986. The mailing address for Clark D Lundgren is Po Box 2084, Thompson Falls, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clark D Lundgren |
|---|---|
| Address | Po Box 2084, Thompson Falls, Montana |
| Phone Number | 4068275500 |
| Fax Number | 4068271986 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1376639633 |
|---|---|
| Provider Enumeration Date | 2006-10-05 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | Po Box 2084 |
|---|---|
| City | Thompson Falls |
| State | Montana (MT) |
| Post Code | 59873 |
| Phone Number | 4068275500 |
| Fax Number | 4068271986 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 472 |
|
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 |
|---|---|---|---|
| 165360 | MT | -- | |
| 40933 | MT | BCBS | |
| 165376 | MT | -- | |
| 1376639633 | MT | CHIROPRACTIC |
Post Comment/ Review Below
What is the unique identifier code issued to Clark D Lundgren by the Centers for Medicare & Medicaid Services?
The Clark D Lundgren has been assigned the NPI (National Provider Identifier) 1376639633. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clark D Lundgren is physically located?
The Clark D Lundgren is situated at the following address: Po Box 2084, Thompson Falls, MT 59873.
What is Clark D Lundgren's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clark D Lundgren is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did Clark D Lundgren receive its 1376639633 assignment from the Centers for Medicare & Medicaid Services?
The Clark D Lundgren was assigned its 1376639633 on 2006-10-05, 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 Clark D Lundgren's details last updated?
The information pertaining to the Clark D Lundgren, including its address, specialty, and other details, was most recently updated on 2018-05-23.
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