Larson Chiropractic Office Inc in Spooner - Chiropractor
Larson Chiropractic Office Inc - NPI 1457419863
Larson Chiropractic Office Inc is a Chiropractor in Spooner, Wisconsin. Larson Chiropractic Office Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Larson Chiropractic Office Inc is 1457419863. The last update date is 2015-04-20.
Larson Chiropractic Office Inc's current location address is 410 N River St, Spooner, Wisconsin. You can contact this provider via phone number 7156359307. The mailing address for Larson Chiropractic Office Inc is 410 N River St, Spooner, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Larson Chiropractic Office Inc |
|---|---|
| Address | 410 N River St, Spooner, Wisconsin |
| Phone Number | 7156359307 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Larson Obert Randy |
| Credentials | DC |
| Telephone Number | 7156359307 |
NPI Number Detail
| NPI Number | 1457419863 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2015-04-20 |
Provider Mailing Address Detail
| Address | 410 N River St |
|---|---|
| City | Spooner |
| State | Wisconsin (WI) |
| Post Code | 54801 |
| Phone Number | 7156359307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1432012 |
|
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 |
|---|---|---|---|
| 350052432 | RR MEDICARE | ||
| 38752600 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larson Chiropractic Office Inc by the Centers for Medicare & Medicaid Services?
The Larson Chiropractic Office Inc has been issued the NPI (National Provider Identifier) 1457419863. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Larson Chiropractic Office Inc is located?
The Larson Chiropractic Office Inc is situated at the following address: 410 N River St, Spooner, WI, 54801.
What is Larson Chiropractic Office Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Larson Chiropractic Office Inc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Larson Chiropractic Office Inc receive its 1457419863 assignment?
The Larson Chiropractic Office Inc was assigned its 1457419863 on 2006-12-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Larson Chiropractic Office Inc most recently updated or revised?
The information pertaining to Larson Chiropractic Office Inc, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-20.