Jennifer Lidstrom Ms Dc Pc in Cornelius - Chiropractor
Jennifer Lidstrom Ms Dc Pc - NPI 1033125240
Jennifer Lidstrom Ms Dc Pc is a Chiropractor in Cornelius, North Carolina. Jennifer Lidstrom Ms Dc Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jennifer Lidstrom Ms Dc Pc is 1033125240. The last update date is 2022-05-17.
Jennifer Lidstrom Ms Dc Pc's current location address is 19924 Jetton Rd Ste 101, Cornelius, North Carolina. You can contact this provider via phone number 7048968446 and fax number 7048968495. The mailing address for Jennifer Lidstrom Ms Dc Pc is 19924 Jetton Rd Ste 101, Cornelius, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jennifer Lidstrom Ms Dc Pc |
|---|---|
| Address | 19924 Jetton Rd Ste 101, Cornelius, North Carolina |
| Phone Number | 7048968446 |
| Fax Number | 7048968495 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING M |
|---|---|
| Authorized Official Name | Lidstrom Marie Jennifer |
| Credentials | DC |
| Telephone Number | 7048968446 |
NPI Number Detail
| NPI Number | 1033125240 |
|---|---|
| Provider Enumeration Date | 2006-07-31 |
| Last Updated Date | 2022-05-17 |
Provider Mailing Address Detail
| Address | 19924 Jetton Rd Ste 101 |
|---|---|
| City | Cornelius |
| State | North Carolina (NC) |
| Post Code | 280318253 |
| Phone Number | 7048968446 |
| Fax Number | 7048968495 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3249 |
|
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 |
|---|---|---|---|
| 89085RM | NC | -- |
Post Comment/ Review Below
What is the Jennifer Lidstrom Ms Dc Pc's 1033125240?
The Jennifer Lidstrom Ms Dc Pc's NPI (National Provider Identifier) Number is 1033125240. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jennifer Lidstrom Ms Dc Pc's physical address?
The Jennifer Lidstrom Ms Dc Pc is physically located at 19924 Jetton Rd Ste 101, in the city of Cornelius, NC, with the postal code 280318253.
What is Jennifer Lidstrom Ms Dc Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jennifer Lidstrom Ms Dc Pc is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1033125240 to Jennifer Lidstrom Ms Dc Pc?
The Centers for Medicare & Medicaid Services assigned the 1033125240 to Jennifer Lidstrom Ms Dc Pc on 2006-07-31.
When was the information related to Jennifer Lidstrom Ms Dc Pc most recently updated or refreshed?
The details pertaining to the Jennifer Lidstrom Ms Dc Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-17.