Brent Stewart Bultemeier in Texarkana - Chiropractor
Brent Stewart Bultemeier - NPI 1821104332
Brent Stewart Bultemeier is a Chiropractor in Texarkana, Texas. Brent Stewart Bultemeier practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brent Stewart Bultemeier is 1821104332. The last update date is 2008-08-20.
Brent Stewart Bultemeier's current location address is 3207 New Boston Rd, Texarkana, Texas. You can contact this provider via phone number 9038328765 and fax number 9038326060. The mailing address for Brent Stewart Bultemeier is 3207 New Boston Rd, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Stewart Bultemeier |
|---|---|
| Address | 3207 New Boston Rd, Texarkana, Texas |
| Phone Number | 9038328765 |
| Fax Number | 9038326060 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1821104332 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2008-08-20 |
Provider Mailing Address Detail
| Address | 3207 New Boston Rd |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 755013133 |
| Phone Number | 9038328765 |
| Fax Number | 9038326060 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 5532 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8AJ387 | TX | BLUE CROSS BLUE SHIELD OF TEXA |
Post Comment/ Review Below
What is the unique identification code assigned to Brent Stewart Bultemeier by the Centers for Medicare & Medicaid Services?
The Brent Stewart Bultemeier has been issued the NPI (National Provider Identifier) 1821104332. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brent Stewart Bultemeier's facilities are situated?
The facilities of Brent Stewart Bultemeier are physically located at the following address: 3207 New Boston Rd, Texarkana, TX, 755013133.
What is Brent Stewart Bultemeier's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent Stewart Bultemeier's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Brent Stewart Bultemeier receive its 1821104332 assignment from the Centers for Medicare & Medicaid Services?
The Brent Stewart Bultemeier was assigned its 1821104332 by the Centers for Medicare & Medicaid Services on 2006-08-21.
When was the information regarding Brent Stewart Bultemeier most recently updated?
The details pertaining to the Brent Stewart Bultemeier, including its address, specialty, and other relevant information, were last refreshed on 2008-08-20.