Crater Chiropractic Clinic Pc in Medford - Chiropractor
Crater Chiropractic Clinic Pc - NPI 1710930151
Crater Chiropractic Clinic Pc is a Chiropractor in Medford, Oregon. Crater Chiropractic Clinic Pc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Crater Chiropractic Clinic Pc is 1710930151. The last update date is 2007-10-15.
Crater Chiropractic Clinic Pc's current location address is 3560 National Rd, Medford, Oregon. You can contact this provider via phone number 5417347333 and fax number 5417348802. The mailing address for Crater Chiropractic Clinic Pc is 3560 National Rd, Medford, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crater Chiropractic Clinic Pc |
|---|---|
| Address | 3560 National Rd, Medford, Oregon |
| Phone Number | 5417347333 |
| Fax Number | 5417348802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Warren L Michael |
| Credentials | DC |
| Telephone Number | 5417347333 |
NPI Number Detail
| NPI Number | 1710930151 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 3560 National Rd |
|---|---|
| City | Medford |
| State | Oregon (OR) |
| Post Code | 975044008 |
| Phone Number | 5417347333 |
| Fax Number | 5417348802 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 272888 |
|
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 |
|---|---|---|---|
| 1790811511 | OR | NPI INDIVIDUAL | |
| 1710930151 | OR | NPI GROUP |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Crater Chiropractic Clinic Pc by the Centers for Medicare & Medicaid Services?
The Crater Chiropractic Clinic Pc has been assigned the NPI (National Provider Identifier) 1710930151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Crater Chiropractic Clinic Pc's physical address?
The Crater Chiropractic Clinic Pc is physically located at 3560 National Rd, in the city of Medford, OR, with the postal code 975044008.
What is Crater Chiropractic Clinic Pc's area of expertise and its corresponding taxonomy classification?
The Crater Chiropractic Clinic Pc's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710930151 to Crater Chiropractic Clinic Pc?
The Centers for Medicare & Medicaid Services originally issued the 1710930151 to Crater Chiropractic Clinic Pc on 2006-05-18.
When was the information pertaining to Crater Chiropractic Clinic Pc most recently updated or revised?
The details related to Crater Chiropractic Clinic Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-15.
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