John A Wisman in Bellevue - Chiropractor

John A Wisman - NPI 1073550141

John A Wisman is a Chiropractor in Bellevue, Washington. John A Wisman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John A Wisman is 1073550141. The last update date is 2021-04-06.

John A Wisman's current location address is 1800 116th Ave Ne Ste 101, Bellevue, Washington. You can contact this provider via phone number 4256370094 and fax number 4254538298. The mailing address for John A Wisman is 1800 116th Ave Ne Ste 101, Bellevue, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name John A Wisman
Address 1800 116th Ave Ne Ste 101, Bellevue, Washington
Phone Number 4256370094
Fax Number 4254538298
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1073550141
Provider Enumeration Date 2006-05-31
Last Updated Date 2021-04-06

Provider Mailing Address Detail

Address 1800 116th Ave Ne Ste 101
City Bellevue
State Washington (WA)
Post Code 980043043
Phone Number 4256370094
Fax Number 4254538298

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 601 847 969
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
AB34532 WA PIN NUMBER

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FAQs about John A Wisman

What is the unique provider identifier assigned to John A Wisman?

The John A Wisman has been issued the NPI (National Provider Identifier) 1073550141 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John A Wisman?

The John A Wisman is physically situated at 1800 116Th Ave Ne Ste 101, in the city of Bellevue, state of WA, with the postal code 980043043.

What is John A Wisman's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for John A Wisman is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.

On what date did the John A Wisman receive the assignment of its 1073550141 from the Centers for Medicare & Medicaid Services?

The John A Wisman was issued its 1073550141 by the Centers for Medicare & Medicaid Services on 2006-05-31.

As of what date were the John A Wisman's details last updated?

The information pertaining to the John A Wisman, including its address, specialty, and other details, was most recently updated on 2021-04-06.

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