Matthew Requa Caron in Hudson - Chiropractor
Matthew Requa Caron - NPI 1235288812
Matthew Requa Caron is a Chiropractor in Hudson, Wisconsin. Matthew Requa Caron practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Matthew Requa Caron is 1235288812. The last update date is 2011-01-26.
Matthew Requa Caron's current location address is 813 Badlands Rd, Hudson, Wisconsin. You can contact this provider via phone number 7153812852. The mailing address for Matthew Requa Caron is 813 Badlands Rd, Hudson, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Requa Caron |
|---|---|
| Address | 813 Badlands Rd, Hudson, Wisconsin |
| Phone Number | 7153812852 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1235288812 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2011-01-26 |
Provider Mailing Address Detail
| Address | 813 Badlands Rd |
|---|---|
| City | Hudson |
| State | Wisconsin (WI) |
| Post Code | 540167617 |
| Phone Number | 7153812852 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3033 |
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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 |
|---|---|---|---|
| 338028900 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Matthew Requa Caron by the Centers for Medicare & Medicaid Services?
The Matthew Requa Caron has been assigned the NPI (National Provider Identifier) 1235288812. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Matthew Requa Caron is physically located?
The Matthew Requa Caron is situated at the following address: 813 Badlands Rd, Hudson, WI 540167617.
What is Matthew Requa Caron's area of expertise and its corresponding taxonomy classification?
The Matthew Requa Caron's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Matthew Requa Caron receive its 1235288812 assignment?
The Matthew Requa Caron was assigned its 1235288812 on 2007-01-10, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Matthew Requa Caron most recently updated or revised?
The information pertaining to Matthew Requa Caron, including its address, specialty, and other relevant details, was last updated or revised on 2011-01-26.