Clint Ryan Dorn in Greenville - Chiropractor
Clint Ryan Dorn - NPI 1053476168
Clint Ryan Dorn is a Chiropractor in Greenville, Wisconsin. Clint Ryan Dorn practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Clint Ryan Dorn is 1053476168. The last update date is 2011-09-16.
Clint Ryan Dorn's current location address is W6905 Parkview Dr, Greenville, Wisconsin. You can contact this provider via phone number 9207575771 and fax number 9207570373. The mailing address for Clint Ryan Dorn is W6905 Parkview Dr, Greenville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clint Ryan Dorn |
|---|---|
| Address | W6905 Parkview Dr, Greenville, Wisconsin |
| Phone Number | 9207575771 |
| Fax Number | 9207570373 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1053476168 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2011-09-16 |
Provider Mailing Address Detail
| Address | W6905 Parkview Dr |
|---|---|
| City | Greenville |
| State | Wisconsin (WI) |
| Post Code | 549429099 |
| Phone Number | 9207575771 |
| Fax Number | 9207570373 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4025012 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38956200 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Clint Ryan Dorn by the Centers for Medicare & Medicaid Services?
The Clint Ryan Dorn has been assigned the NPI (National Provider Identifier) 1053476168 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Clint Ryan Dorn?
The Clint Ryan Dorn is situated at W6905 Parkview Dr, in the city of Greenville, state of WI, with the zip code 549429099.
What is the area of specialization for Clint Ryan Dorn, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Clint Ryan Dorn is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
When did the Clint Ryan Dorn receive its 1053476168?
The Clint Ryan Dorn was issued its 1053476168 on 2006-12-27, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Clint Ryan Dorn most recently updated or revised?
The details related to Clint Ryan Dorn, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-16.