Thomas Myron Kintop in Superior - Chiropractor
Thomas Myron Kintop - NPI 1164563433
Thomas Myron Kintop is a Chiropractor in Superior, Wisconsin. Thomas Myron Kintop practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Thomas Myron Kintop is 1164563433. The last update date is 2008-09-15.
Thomas Myron Kintop's current location address is 2425 Tower Ave, Superior, Wisconsin. You can contact this provider via phone number 7153923352. The mailing address for Thomas Myron Kintop is 2425 Tower Ave, Superior, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Myron Kintop |
|---|---|
| Address | 2425 Tower Ave, Superior, Wisconsin |
| Phone Number | 7153923352 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1164563433 |
|---|---|
| Provider Enumeration Date | 2007-02-09 |
| Last Updated Date | 2008-09-15 |
Provider Mailing Address Detail
| Address | 2425 Tower Ave |
|---|---|
| City | Superior |
| State | Wisconsin (WI) |
| Post Code | 548804841 |
| Phone Number | 7153923352 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 2720 |
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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 |
|---|---|---|---|
| 38865800 | WI | -- |
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What is the unique identifier code issued to Thomas Myron Kintop by the Centers for Medicare & Medicaid Services?
The Thomas Myron Kintop has been assigned the NPI (National Provider Identifier) 1164563433. 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 provide the complete street address where Thomas Myron Kintop is physically located?
The Thomas Myron Kintop is physically situated at the following address: 2425 Tower Ave, Superior, WI, 548804841.
What is the area of specialization for Thomas Myron Kintop, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas Myron Kintop is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did Thomas Myron Kintop receive its 1164563433 assignment from the Centers for Medicare & Medicaid Services?
The Thomas Myron Kintop was assigned its 1164563433 on 2007-02-09, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Thomas Myron Kintop most recently updated or revised?
The details related to Thomas Myron Kintop, including its address, specialty, and other relevant information, were last updated or revised on 2008-09-15.