David Wayne Engstrom in Grafton - Chiropractor
David Wayne Engstrom - NPI 1417170846
David Wayne Engstrom is a Chiropractor in Grafton, Wisconsin. David Wayne Engstrom practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for David Wayne Engstrom is 1417170846. The last update date is 2007-07-08.
David Wayne Engstrom's current location address is 1240 13th Avenue, Grafton, Wisconsin. You can contact this provider via phone number 2623751470 and fax number 2623753580. The mailing address for David Wayne Engstrom is 1240 13th Avenue, Grafton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Wayne Engstrom |
|---|---|
| Address | 1240 13th Avenue, Grafton, Wisconsin |
| Phone Number | 2623751470 |
| Fax Number | 2623753580 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417170846 |
|---|---|
| Provider Enumeration Date | 2007-04-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1240 13th Avenue |
|---|---|
| City | Grafton |
| State | Wisconsin (WI) |
| Post Code | 53024 |
| Phone Number | 2623751470 |
| Fax Number | 2623753580 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1485 |
|
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 |
|---|---|---|---|
| 38762500 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to David Wayne Engstrom by the Centers for Medicare & Medicaid Services?
The David Wayne Engstrom has been issued the NPI (National Provider Identifier) 1417170846 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the David Wayne Engstrom's physical address?
The David Wayne Engstrom is physically located at 1240 13Th Avenue, in the city of Grafton, WI, with the postal code 53024.
What is the area of specialization for David Wayne Engstrom, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David Wayne Engstrom 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 issue the 1417170846 to David Wayne Engstrom?
The David Wayne Engstrom received its 1417170846 assignment from the Centers for Medicare & Medicaid Services on 2007-04-11.
As of what date were the David Wayne Engstrom's details last updated?
The information pertaining to the David Wayne Engstrom, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC
NPI Number: 1063415297
Address: 510 Spring St, Jeffersonville, IN