Jack L Mikeworth in Fort Worth - Chiropractor
Jack L Mikeworth - NPI 1003952847
Jack L Mikeworth is a Chiropractor in Fort Worth, Texas. Jack L Mikeworth practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jack L Mikeworth is 1003952847. The last update date is 2007-07-08.
Jack L Mikeworth's current location address is 2200 Evans Ave, Fort Worth, Texas. You can contact this provider via phone number 8179264693 and fax number 8179209625. The mailing address for Jack L Mikeworth is 2200 Evans Ave, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack L Mikeworth |
|---|---|
| Address | 2200 Evans Ave, Fort Worth, Texas |
| Phone Number | 8179264693 |
| Fax Number | 8179209625 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1003952847 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2200 Evans Ave |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 7610460660 |
| Phone Number | 8179264693 |
| Fax Number | 8179209625 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5714 |
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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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What is the unique identifier code issued to Jack L Mikeworth by the Centers for Medicare & Medicaid Services?
The Jack L Mikeworth has been assigned the NPI (National Provider Identifier) 1003952847. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jack L Mikeworth?
The Jack L Mikeworth is physically situated at 2200 Evans Ave, in the city of Fort Worth, state of TX, with the postal code 7610460660.
What is the Jack L Mikeworth's area of specialization and corresponding taxonomy classification?
The Jack L Mikeworth's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1003952847 assigned to Jack L Mikeworth?
The Jack L Mikeworth was issued its 1003952847 on 2007-01-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Jack L Mikeworth's details last updated?
The information pertaining to the Jack L Mikeworth, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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