Andrew Wagner Chiropractic Llc in Fargo - Chiropractor
Andrew Wagner Chiropractic Llc - NPI 1457520124
Andrew Wagner Chiropractic Llc is a Chiropractor in Fargo, North Dakota. Andrew Wagner Chiropractic Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Andrew Wagner Chiropractic Llc is 1457520124. The last update date is 2008-02-26.
Andrew Wagner Chiropractic Llc's current location address is 4357 13th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7013562225. The mailing address for Andrew Wagner Chiropractic Llc is 4357 13th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andrew Wagner Chiropractic Llc |
|---|---|
| Address | 4357 13th Ave S, Fargo, North Dakota |
| Phone Number | 7013562225 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Wagner Mark Andrew |
| Credentials | D.C. |
| Telephone Number | 7012693219 |
NPI Number Detail
| NPI Number | 1457520124 |
|---|---|
| Provider Enumeration Date | 2008-02-26 |
| Last Updated Date | 2008-02-26 |
Provider Mailing Address Detail
| Address | 4357 13th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033381 |
| Phone Number | 7013562225 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 809 |
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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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What is the unique 10-digit identification code assigned to Andrew Wagner Chiropractic Llc by the Centers for Medicare & Medicaid Services?
The Andrew Wagner Chiropractic Llc has been issued the NPI (National Provider Identifier) 1457520124, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Andrew Wagner Chiropractic Llc?
The Andrew Wagner Chiropractic Llc is situated at 4357 13Th Ave S, in the city of Fargo, state of ND, with the zip code 581033381.
What is Andrew Wagner Chiropractic Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Andrew Wagner Chiropractic Llc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Andrew Wagner Chiropractic Llc receive the assignment of its 1457520124 from the Centers for Medicare & Medicaid Services?
The Andrew Wagner Chiropractic Llc was issued its 1457520124 by the Centers for Medicare & Medicaid Services on 2008-02-26.
As of what date were the details pertaining to Andrew Wagner Chiropractic Llc last refreshed?
The information related to the Andrew Wagner Chiropractic Llc, including its address, specialty, and other relevant details, was last updated on 2008-02-26.