Thomas David Bossart in Fargo - Chiropractor

Thomas David Bossart - NPI 1467471714

Thomas David Bossart is a Chiropractor in Fargo, North Dakota. Thomas David Bossart practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas David Bossart is 1467471714. The last update date is 2007-12-20.

Thomas David Bossart's current location address is 1815 University Dr S, Fargo, North Dakota. You can contact this provider via phone number 7012394710 and fax number 7012394719. The mailing address for Thomas David Bossart is 1815 University Dr S, Fargo, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas David Bossart
Address 1815 University Dr S, Fargo, North Dakota
Phone Number 7012394710
Fax Number 7012394719
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1467471714
Provider Enumeration Date 2006-07-18
Last Updated Date 2007-12-20

Provider Mailing Address Detail

Address 1815 University Dr S
City Fargo
State North Dakota (ND)
Post Code 581034900
Phone Number 7012394710
Fax Number 7012394719

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 549
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
1189001 ND BLUE CROSS BLUE SHIELD ND
18215 ND --
3C874BO MN BLUE CROSS BLUE SHIELD MN
549 ND COMMERCIAL

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FAQs about Thomas David Bossart

What is the Thomas David Bossart's unique identification number?

The Thomas David Bossart has been assigned the NPI (National Provider Identifier) Number 1467471714 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 Thomas David Bossart is physically located?

The Thomas David Bossart is situated at the following address: 1815 University Dr S, Fargo, ND 581034900.

What is Thomas David Bossart's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Thomas David Bossart'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 Thomas David Bossart receive its 1467471714 assignment from the Centers for Medicare & Medicaid Services?

The Thomas David Bossart was assigned its 1467471714 by the Centers for Medicare & Medicaid Services on 2006-07-18.

As of what date was the information pertaining to Thomas David Bossart, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Thomas David Bossart, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-12-20.

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