Jimmy A Reidt is a Chiropractor in Shell Lake, Wisconsin. Jimmy A Reidt practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jimmy A Reidt is 1508910514. The last update date is 2013-06-21.
Jimmy A Reidt's current location address is Po Box 637, Shell Lake, Wisconsin. You can contact this provider via phone number 7154682275. The mailing address for Jimmy A Reidt is Po Box 637, Shell Lake, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jimmy A Reidt |
|---|---|
| Address | Po Box 637, Shell Lake, Wisconsin |
| Phone Number | 7154682275 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1508910514 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2013-06-21 |
Provider Mailing Address Detail
| Address | Po Box 637 |
|---|---|
| City | Shell Lake |
| State | Wisconsin (WI) |
| Post Code | 548710637 |
| Phone Number | 7154682275 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2861 |
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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 |
|---|---|---|---|
| 38867700 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jimmy A Reidt by the Centers for Medicare & Medicaid Services?
The Jimmy A Reidt has been issued the NPI (National Provider Identifier) 1508910514. This 10-digit code 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 Jimmy A Reidt is geographically located?
The Jimmy A Reidt is physically situated at the following location: Po Box 637, Shell Lake, WI, 548710637.
What is Jimmy A Reidt's area of expertise and its corresponding taxonomy classification?
The Jimmy A Reidt's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Jimmy A Reidt receive its 1508910514 assignment from the Centers for Medicare & Medicaid Services?
The Jimmy A Reidt was assigned its 1508910514 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the details pertaining to Jimmy A Reidt last refreshed?
The information related to the Jimmy A Reidt, including its address, specialty, and other relevant details, was last updated on 2013-06-21.