Stefan Richard Black in Bellevue - Chiropractor
Stefan Richard Black - NPI 1114082401
Stefan Richard Black is a Chiropractor in Bellevue, Washington. Stefan Richard Black practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Stefan Richard Black is 1114082401. The last update date is 2012-05-11.
Stefan Richard Black's current location address is 15100 Se 38th St, Bellevue, Washington. You can contact this provider via phone number 4252890092 and fax number 4252890095. The mailing address for Stefan Richard Black is 15100 Se 38th St, Bellevue, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan Richard Black |
|---|---|
| Address | 15100 Se 38th St, Bellevue, Washington |
| Phone Number | 4252890092 |
| Fax Number | 4252890095 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1114082401 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2012-05-11 |
Provider Mailing Address Detail
| Address | 15100 Se 38th St |
|---|---|
| City | Bellevue |
| State | Washington (WA) |
| Post Code | 98006 |
| Phone Number | 4252890092 |
| Fax Number | 4252890095 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH00034220 |
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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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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Stefan Richard Black by the Centers for Medicare & Medicaid Services?
The Stefan Richard Black has been assigned the NPI (National Provider Identifier) 1114082401 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Stefan Richard Black's physical address?
The Stefan Richard Black is physically located at 15100 Se 38Th St, in the city of Bellevue, WA, with the postal code 98006.
What is the Stefan Richard Black's specialty and taxonomy code?
The Stefan Richard Black's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Stefan Richard Black receive the assignment of its 1114082401 from the Centers for Medicare & Medicaid Services?
The Stefan Richard Black was issued its 1114082401 by the Centers for Medicare & Medicaid Services on 2006-12-27.
As of what date were the details pertaining to Stefan Richard Black last refreshed?
The information related to the Stefan Richard Black, including its address, specialty, and other relevant details, was last updated on 2012-05-11.
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