Spencer Daniel Johansen in Virginia Beach - Chiropractor
Spencer Daniel Johansen - NPI 1164495784
Spencer Daniel Johansen is a Chiropractor in Virginia Beach, Virginia. Spencer Daniel Johansen practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Spencer Daniel Johansen is 1164495784. The last update date is 2013-09-10.
Spencer Daniel Johansen's current location address is 2416 Virginia Beach Blvd, Virginia Beach, Virginia. You can contact this provider via phone number 7574222000 and fax number 7574221151. The mailing address for Spencer Daniel Johansen is 2416 Virginia Beach Blvd, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Spencer Daniel Johansen |
|---|---|
| Address | 2416 Virginia Beach Blvd, Virginia Beach, Virginia |
| Phone Number | 7574222000 |
| Fax Number | 7574221151 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1164495784 |
|---|---|
| Provider Enumeration Date | 2006-02-13 |
| Last Updated Date | 2013-09-10 |
Provider Mailing Address Detail
| Address | 2416 Virginia Beach Blvd |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234543993 |
| Phone Number | 7574222000 |
| Fax Number | 7574221151 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 104001208 |
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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 Spencer Daniel Johansen's 1164495784?
The Spencer Daniel Johansen's NPI (National Provider Identifier) Number is 1164495784. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Spencer Daniel Johansen's facilities are situated?
The facilities of Spencer Daniel Johansen are physically located at the following address: 2416 Virginia Beach Blvd, Virginia Beach, VA, 234543993.
What is the area of specialization for Spencer Daniel Johansen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Spencer Daniel Johansen is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Spencer Daniel Johansen receive its 1164495784 assignment from the Centers for Medicare & Medicaid Services?
The Spencer Daniel Johansen was assigned its 1164495784 by the Centers for Medicare & Medicaid Services on 2006-02-13.
As of what date were the Spencer Daniel Johansen's details last updated?
The information pertaining to the Spencer Daniel Johansen, including its address, specialty, and other details, was most recently updated on 2013-09-10.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY