Mary J Gonstead in Eau Claire - Chiropractor
Mary J Gonstead - NPI 1508866161
Mary J Gonstead is a Chiropractor in Eau Claire, Wisconsin. Mary J Gonstead practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Mary J Gonstead is 1508866161. The last update date is 2018-10-09.
Mary J Gonstead's current location address is 503 E Clairemont Ave, Eau Claire, Wisconsin. You can contact this provider via phone number 7158322223 and fax number 7158327416. The mailing address for Mary J Gonstead is 503 E Clairemont Ave, Eau Claire, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Gonstead |
|---|---|
| Address | 503 E Clairemont Ave, Eau Claire, Wisconsin |
| Phone Number | 7158322223 |
| Fax Number | 7158327416 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1508866161 |
|---|---|
| Provider Enumeration Date | 2005-07-26 |
| Last Updated Date | 2018-10-09 |
Provider Mailing Address Detail
| Address | 503 E Clairemont Ave |
|---|---|
| City | Eau Claire |
| State | Wisconsin (WI) |
| Post Code | 547016479 |
| Phone Number | 7158322223 |
| Fax Number | 7158327416 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2063-012 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 391744596019 | WI | BLUE CROSS | |
| 350010622 | WI | RAILROAD MEDICARE |
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What is the unique 10-digit identification code assigned to Mary J Gonstead by the Centers for Medicare & Medicaid Services?
The Mary J Gonstead has been issued the NPI (National Provider Identifier) 1508866161, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mary J Gonstead's physical address?
The Mary J Gonstead is physically located at 503 E Clairemont Ave, in the city of Eau Claire, WI, with the postal code 547016479.
What is the Mary J Gonstead's area of specialization and corresponding taxonomy classification?
The Mary J Gonstead'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 Mary J Gonstead receive its 1508866161 assignment from the Centers for Medicare & Medicaid Services?
The Mary J Gonstead was assigned its 1508866161 by the Centers for Medicare & Medicaid Services on 2005-07-26.
As of what date were the Mary J Gonstead's details last updated?
The information pertaining to the Mary J Gonstead, including its address, specialty, and other details, was most recently updated on 2018-10-09.