Jon S Shimoda is a Chiropractor in Eau Claire, Wisconsin. Jon S Shimoda practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jon S Shimoda is 1619080884. The last update date is 2007-07-08.
Jon S Shimoda's current location address is 3422 Darryl Lane, Eau Claire, Wisconsin. You can contact this provider via phone number 7158350473. The mailing address for Jon S Shimoda is 3422 Darryl Lane, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jon S Shimoda |
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Address | 3422 Darryl Lane, Eau Claire, Wisconsin |
Phone Number | 7158350473 |
Fax Number | |
Sole Proprietor | N |
Credentials | DC |
NPI Number Detail
NPI Number | 1619080884 |
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Provider Enumeration Date | 2006-08-15 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3422 Darryl Lane |
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City | Eau Claire |
State | Wisconsin (WI) |
Post Code | 54703 |
Phone Number | 7158350473 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 2898012 |
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 |
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38867800 | WI | -- |
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What is the unique 10-digit identification code assigned to Jon S Shimoda by the Centers for Medicare & Medicaid Services?
The Jon S Shimoda has been issued the NPI (National Provider Identifier) 1619080884, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jon S Shimoda?
The Jon S Shimoda is situated at 3422 Darryl Lane, in the city of Eau Claire, state of WI, with the zip code 54703.
What is Jon S Shimoda's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jon S Shimoda is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619080884 to Jon S Shimoda?
The Centers for Medicare & Medicaid Services assigned the 1619080884 to Jon S Shimoda on 2006-08-15.
As of what date was the information regarding Jon S Shimoda, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jon S Shimoda, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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