Jeffrey Blaine Randall in Sioux Falls - Chiropractor
Jeffrey Blaine Randall - NPI 1952469967
Jeffrey Blaine Randall is a Chiropractor in Sioux Falls, South Dakota. Jeffrey Blaine Randall practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jeffrey Blaine Randall is 1952469967. The last update date is 2007-12-04.
Jeffrey Blaine Randall's current location address is 434 S Kiwanis Ave, Sioux Falls, South Dakota. You can contact this provider via phone number 6053327706 and fax number 6053322430. The mailing address for Jeffrey Blaine Randall is 434 S Kiwanis Ave, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Blaine Randall |
|---|---|
| Address | 434 S Kiwanis Ave, Sioux Falls, South Dakota |
| Phone Number | 6053327706 |
| Fax Number | 6053322430 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1952469967 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-12-04 |
Provider Mailing Address Detail
| Address | 434 S Kiwanis Ave |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571043710 |
| Phone Number | 6053327706 |
| Fax Number | 6053322430 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1099 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 29C03RA | MN | BC/BS | |
| 4329 | SD | BC/BS | |
| 7603990 | SD | -- |
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What is the unique identification code assigned to Jeffrey Blaine Randall by the Centers for Medicare & Medicaid Services?
The Jeffrey Blaine Randall has been issued the NPI (National Provider Identifier) 1952469967. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jeffrey Blaine Randall is located?
The Jeffrey Blaine Randall is situated at the following address: 434 S Kiwanis Ave, Sioux Falls, SD, 571043710.
What is Jeffrey Blaine Randall's area of expertise and its corresponding taxonomy classification?
The Jeffrey Blaine Randall'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 Jeffrey Blaine Randall receive its 1952469967 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Blaine Randall was assigned its 1952469967 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jeffrey Blaine Randall's details last updated?
The information pertaining to the Jeffrey Blaine Randall, including its address, specialty, and other details, was most recently updated on 2007-12-04.
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