Reva R Draeger in Weston - Chiropractor

Reva R Draeger - NPI 1750336186

Reva R Draeger is a Chiropractor in Weston, Wisconsin. Reva R Draeger practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Reva R Draeger is 1750336186. The last update date is 2007-07-08.

Reva R Draeger's current location address is 2114 Schofield Ave, Weston, Wisconsin. You can contact this provider via phone number 7153554224 and fax number 7153554120. The mailing address for Reva R Draeger is 2114 Schofield Ave, Weston, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Reva R Draeger
Address 2114 Schofield Ave, Weston, Wisconsin
Phone Number 7153554224
Fax Number 7153554120
Sole Proprietor X
Credentials D.C.

NPI Number Detail

NPI Number 1750336186
Provider Enumeration Date 2006-05-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2114 Schofield Ave
City Weston
State Wisconsin (WI)
Post Code 544762365
Phone Number 7153554224
Fax Number 7153554120

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2184
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
38883900 WI --

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FAQs about Reva R Draeger

What is the unique identifier code issued to Reva R Draeger by the Centers for Medicare & Medicaid Services (CMS)?

The Reva R Draeger has been assigned the NPI (National Provider Identifier) 1750336186. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete physical location address of Reva R Draeger?

The Reva R Draeger is physically situated at 2114 Schofield Ave, in the city of Weston, state of WI, with the postal code 544762365.

What is the Reva R Draeger's specialty and taxonomy code?

The Reva R Draeger's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.

On what date did the Reva R Draeger receive the assignment of its 1750336186 from the Centers for Medicare & Medicaid Services?

The Reva R Draeger was issued its 1750336186 by the Centers for Medicare & Medicaid Services on 2006-05-24.

When was the information regarding Reva R Draeger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Reva R Draeger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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