Randall Raymond Beach in Fremont - Chiropractor
Randall Raymond Beach - NPI 1235112103
Randall Raymond Beach is a Chiropractor in Fremont, Nebraska. Randall Raymond Beach practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Randall Raymond Beach is 1235112103. The last update date is 2007-07-09.
Randall Raymond Beach's current location address is 300 W 23rd St, Fremont, Nebraska. You can contact this provider via phone number 4027211190 and fax number 4027211199. The mailing address for Randall Raymond Beach is 300 W 23rd St, Fremont, Nebraska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Raymond Beach |
|---|---|
| Address | 300 W 23rd St, Fremont, Nebraska |
| Phone Number | 4027211190 |
| Fax Number | 4027211199 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1235112103 |
|---|---|
| Provider Enumeration Date | 2005-11-23 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 300 W 23rd St |
|---|---|
| City | Fremont |
| State | Nebraska (NE) |
| Post Code | 680252547 |
| Phone Number | 4027211190 |
| Fax Number | 4027211199 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 690 |
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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 |
|---|---|---|---|
| 9811 | NE | BLUE CROSS BLUE SHIELD | |
| 47075074900 | NE | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Randall Raymond Beach by the Centers for Medicare & Medicaid Services?
The Randall Raymond Beach has been issued the NPI (National Provider Identifier) 1235112103, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Randall Raymond Beach is physically located?
The Randall Raymond Beach is physically situated at the following address: 300 W 23Rd St, Fremont, NE, 680252547.
What is the Randall Raymond Beach's specialty and taxonomy code?
The Randall Raymond Beach's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1235112103 to Randall Raymond Beach?
The Randall Raymond Beach received its 1235112103 assignment from the Centers for Medicare & Medicaid Services on 2005-11-23.
When was the information regarding Randall Raymond Beach most recently updated?
The details pertaining to the Randall Raymond Beach, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.