Walter Jean Mellgren in West - Chiropractor

Walter Jean Mellgren - NPI 1386675262

Walter Jean Mellgren is a Chiropractor in West, Texas. Walter Jean Mellgren practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Walter Jean Mellgren is 1386675262. The last update date is 2007-07-08.

Walter Jean Mellgren's current location address is Po Box 475, West, Texas. You can contact this provider via phone number 2548263737 and fax number 2548263769. The mailing address for Walter Jean Mellgren is Po Box 475, West, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Walter Jean Mellgren
Address Po Box 475, West, Texas
Phone Number 2548263737
Fax Number 2548263769
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1386675262
Provider Enumeration Date 2006-07-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 475
City West
State Texas (TX)
Post Code 766910475
Phone Number 2548263737
Fax Number 2548263769

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2506
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
00L71L TX BCBS

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FAQs about Walter Jean Mellgren

What is the Walter Jean Mellgren's 1386675262?

The Walter Jean Mellgren's NPI (National Provider Identifier) Number is 1386675262. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Walter Jean Mellgren's physical address?

The Walter Jean Mellgren is physically located at Po Box 475, in the city of West, TX, with the postal code 766910475.

What is the Walter Jean Mellgren's area of specialization and corresponding taxonomy classification?

The Walter Jean Mellgren's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1386675262 to Walter Jean Mellgren?

The Centers for Medicare & Medicaid Services assigned the 1386675262 to Walter Jean Mellgren on 2006-07-06.

As of what date were the Walter Jean Mellgren's details last updated?

The information pertaining to the Walter Jean Mellgren, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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