Travis J Tessendorf in Columbus - Chiropractor
Travis J Tessendorf - NPI 1427040724
Travis J Tessendorf is a Chiropractor in Columbus, Nebraska. Travis J Tessendorf practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Travis J Tessendorf is 1427040724. The last update date is 2014-01-31.
Travis J Tessendorf's current location address is Po Box 727, Columbus, Nebraska. You can contact this provider via phone number 4025640193 and fax number 4025640179. The mailing address for Travis J Tessendorf is Po Box 727, Columbus, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Travis J Tessendorf |
|---|---|
| Address | Po Box 727, Columbus, Nebraska |
| Phone Number | 4025640193 |
| Fax Number | 4025640179 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1427040724 |
|---|---|
| Provider Enumeration Date | 2005-08-22 |
| Last Updated Date | 2014-01-31 |
Provider Mailing Address Detail
| Address | Po Box 727 |
|---|---|
| City | Columbus |
| State | Nebraska (NE) |
| Post Code | 686020727 |
| Phone Number | 4025640193 |
| Fax Number | 4025640179 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1197 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9641 | NE | BLUE CROSS BLUE SHIELD | |
| 15979 | NE | MIDLANDS CHOICE PPO | |
| 47082197400 | NE | -- | |
| 470821974 | NE | FEDERAL TAX ID | |
| 350049151 | RAILROAD MEDICARE |
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What is the Travis J Tessendorf's 1427040724?
The Travis J Tessendorf's NPI (National Provider Identifier) Number is 1427040724. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Travis J Tessendorf located?
The Travis J Tessendorf is located at Po Box 727, Columbus, NE 686020727.
What is the Travis J Tessendorf's specialty and taxonomy code?
The Travis J Tessendorf's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
When was the Travis J Tessendorf's 1427040724 issued?
The Travis J Tessendorf's 1427040724 was issued on 2005-08-22.
When was the Travis J Tessendorf's information last updated?
The Travis J Tessendorf's information was last updated on 2014-01-31.