Laura Leanne Detert in Marion - Chiropractor
Laura Leanne Detert - NPI 1154489425
Laura Leanne Detert is a Chiropractor in Marion, Wisconsin. Laura Leanne Detert practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Laura Leanne Detert is 1154489425. The last update date is 2007-07-09.
Laura Leanne Detert's current location address is Po Box 485, Marion, Wisconsin. You can contact this provider via phone number 7157542555 and fax number 7157542556. The mailing address for Laura Leanne Detert is Po Box 485, Marion, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Laura Leanne Detert |
|---|---|
| Address | Po Box 485, Marion, Wisconsin |
| Phone Number | 7157542555 |
| Fax Number | 7157542556 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1154489425 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | Po Box 485 |
|---|---|
| City | Marion |
| State | Wisconsin (WI) |
| Post Code | 549500485 |
| Phone Number | 7157542555 |
| Fax Number | 7157542556 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2895-012 |
|
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 |
|---|---|---|---|
| 38984900 | WI | -- | |
| 38866500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Laura Leanne Detert by the Centers for Medicare & Medicaid Services?
The Laura Leanne Detert has been assigned the NPI (National Provider Identifier) 1154489425. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Laura Leanne Detert is geographically located?
The Laura Leanne Detert is physically situated at the following location: Po Box 485, Marion, WI, 549500485.
What is Laura Leanne Detert's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Laura Leanne Detert is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
When did Laura Leanne Detert receive its 1154489425 assignment?
The Laura Leanne Detert was assigned its 1154489425 on 2006-12-05, which is the date when this unique identifier was issued to the organization.
When was the information related to Laura Leanne Detert most recently updated or refreshed?
The details pertaining to the Laura Leanne Detert, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-09.