Travis J Roedocker in Minot - Chiropractor
Travis J Roedocker - NPI 1700811148
Travis J Roedocker is a Chiropractor in Minot, North Dakota. Travis J Roedocker practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Travis J Roedocker is 1700811148. The last update date is 2007-07-08.
Travis J Roedocker's current location address is 1001 20th Ave Sw, Minot, North Dakota. You can contact this provider via phone number 7018520158 and fax number 7018525630. The mailing address for Travis J Roedocker is 1001 20th Ave Sw, Minot, North Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Name | Travis J Roedocker |
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Address | 1001 20th Ave Sw, Minot, North Dakota |
Phone Number | 7018520158 |
Fax Number | 7018525630 |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1700811148 |
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Provider Enumeration Date | 2006-07-12 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1001 20th Ave Sw |
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City | Minot |
State | North Dakota (ND) |
Post Code | 58701 |
Phone Number | 7018520158 |
Fax Number | 7018525630 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 716 |
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 |
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711180 | GROUP PROVIDER # | ||
10810 | CLINIC MEDICAID | ||
12206 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Travis J Roedocker by the Centers for Medicare & Medicaid Services?
The Travis J Roedocker has been issued the NPI (National Provider Identifier) 1700811148 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Travis J Roedocker's facilities are geographically located?
The facilities of Travis J Roedocker are physically situated at the following location: 1001 20Th Ave Sw, Minot, ND, 58701.
What is Travis J Roedocker's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Travis J Roedocker is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700811148 to Travis J Roedocker?
The Centers for Medicare & Medicaid Services originally issued the 1700811148 to Travis J Roedocker on 2006-07-12.
As of what date were the Travis J Roedocker's details last updated?
The information pertaining to the Travis J Roedocker, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY