Ideal Chiropractic Of Fond Du Lac Llc in Fond Du Lac - Chiropractor
Ideal Chiropractic Of Fond Du Lac Llc - NPI 1639351026
Ideal Chiropractic Of Fond Du Lac Llc is a Chiropractor in Fond Du Lac, Wisconsin. Ideal Chiropractic Of Fond Du Lac Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Ideal Chiropractic Of Fond Du Lac Llc is 1639351026. The last update date is 2007-11-28.
Ideal Chiropractic Of Fond Du Lac Llc's current location address is 976 E Johnson St Ste 900, Fond Du Lac, Wisconsin. You can contact this provider via phone number 9209071700 and fax number 9209071708. The mailing address for Ideal Chiropractic Of Fond Du Lac Llc is 976 E Johnson St Ste 900, Fond Du Lac, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ideal Chiropractic Of Fond Du Lac Llc |
|---|---|
| Address | 976 E Johnson St Ste 900, Fond Du Lac, Wisconsin |
| Phone Number | 9209071700 |
| Fax Number | 9209071708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR OF |
|---|---|
| Authorized Official Name | Rodriguez Lynn Jessica |
| Credentials | DC |
| Telephone Number | 9209071700 |
NPI Number Detail
| NPI Number | 1639351026 |
|---|---|
| Provider Enumeration Date | 2007-11-28 |
| Last Updated Date | 2007-11-28 |
Provider Mailing Address Detail
| Address | 976 E Johnson St Ste 900 |
|---|---|
| City | Fond Du Lac |
| State | Wisconsin (WI) |
| Post Code | 549359747 |
| Phone Number | 9209071700 |
| Fax Number | 9209071708 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4174-012 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1063589505 | WI | INDIVIDUAL NPI |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Ideal Chiropractic Of Fond Du Lac Llc by the Centers for Medicare & Medicaid Services?
The Ideal Chiropractic Of Fond Du Lac Llc has been issued the NPI (National Provider Identifier) 1639351026, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Ideal Chiropractic Of Fond Du Lac Llc is geographically located?
The Ideal Chiropractic Of Fond Du Lac Llc is physically situated at the following location: 976 E Johnson St Ste 900, Fond Du Lac, WI, 549359747.
What is the area of specialization for Ideal Chiropractic Of Fond Du Lac Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ideal Chiropractic Of Fond Du Lac Llc is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1639351026 to Ideal Chiropractic Of Fond Du Lac Llc?
The Centers for Medicare & Medicaid Services originally issued the 1639351026 to Ideal Chiropractic Of Fond Du Lac Llc on 2007-11-28.
As of what date were the details related to Ideal Chiropractic Of Fond Du Lac Llc most recently updated or revised?
The information pertaining to Ideal Chiropractic Of Fond Du Lac Llc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-28.
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