Jadean Jake Anderson in Fargo - Chiropractor
Jadean Jake Anderson - NPI 1871790832
Jadean Jake Anderson is a Chiropractor in Fargo, North Dakota. Jadean Jake Anderson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jadean Jake Anderson is 1871790832. The last update date is 2007-10-03.
Jadean Jake Anderson's current location address is 4132 30th Ave South, Fargo, North Dakota. You can contact this provider via phone number 7013712298 and fax number 7012417738. The mailing address for Jadean Jake Anderson is 4132 30th Ave South, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jadean Jake Anderson |
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Address | 4132 30th Ave South, Fargo, North Dakota |
Phone Number | 7013712298 |
Fax Number | 7012417738 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1871790832 |
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Provider Enumeration Date | 2007-07-02 |
Last Updated Date | 2007-10-03 |
Provider Mailing Address Detail
Address | 4132 30th Ave South |
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City | Fargo |
State | North Dakota (ND) |
Post Code | 581048407 |
Phone Number | 7013712298 |
Fax Number | 7012417738 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 390200000X |
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 |
---|---|---|---|
AND28655 | ND | BLUE CROSS BLUE SHIELD ND |
Post Comment/ Review Below
What is the Jadean Jake Anderson's unique identification number?
The Jadean Jake Anderson has been assigned the NPI (National Provider Identifier) Number 1871790832 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jadean Jake Anderson is physically located?
The Jadean Jake Anderson is situated at the following address: 4132 30Th Ave South, Fargo, ND 581048407.
What is Jadean Jake Anderson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jadean Jake Anderson is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Jadean Jake Anderson receive the assignment of its 1871790832 from the Centers for Medicare & Medicaid Services?
The Jadean Jake Anderson was issued its 1871790832 by the Centers for Medicare & Medicaid Services on 2007-07-02.
As of what date were the details related to Jadean Jake Anderson most recently updated or revised?
The information pertaining to Jadean Jake Anderson, including its address, specialty, and other relevant details, was last updated or revised on 2007-10-03.
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