Andre Marcel Acebo in Templeton - Sports Physician

Andre Marcel Acebo - NPI 1083647051

Andre Marcel Acebo is a Sports Physician in Templeton, California. Andre Marcel Acebo practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Andre Marcel Acebo is 1083647051. The last update date is 2021-06-18.

Andre Marcel Acebo's current location address is 325 Posada Ln, Templeton, California. You can contact this provider via phone number 8055426700 and fax number 8055426791. The mailing address for Andre Marcel Acebo is 325 Posada Ln, Templeton, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Andre Marcel Acebo
Address 325 Posada Ln, Templeton, California
Phone Number 8055426700
Fax Number 8055426791
Sole Proprietor Y
Credentials --

NPI Number Detail

NPI Number 1083647051
Provider Enumeration Date 2006-07-10
Last Updated Date 2021-06-18

Provider Mailing Address Detail

Address 325 Posada Ln
City Templeton
State California (CA)
Post Code 934654003
Phone Number 8055426700
Fax Number 8055426791

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No DC 20074
Definition:
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP)

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
W1508A CA CHCCC, TEMPLETON MEDICARE GROU
FHC70936F CA TEMPLETON M/CAL #
W1508 CA MEDICARE GROUP NUMBER

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FAQs about Andre Marcel Acebo

What is the unique 10-digit identification code issued to Andre Marcel Acebo by the Centers for Medicare & Medicaid Services?

The Andre Marcel Acebo has been assigned the NPI (National Provider Identifier) 1083647051 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of Andre Marcel Acebo?

The Andre Marcel Acebo is physically situated at 325 Posada Ln, in the city of Templeton, state of CA, with the postal code 934654003.

What is the Andre Marcel Acebo's area of specialization and corresponding taxonomy classification?

The Andre Marcel Acebo's specialty field is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their specialties.

On what date did the Andre Marcel Acebo receive its 1083647051 assignment from the Centers for Medicare & Medicaid Services?

The Andre Marcel Acebo was assigned its 1083647051 by the Centers for Medicare & Medicaid Services on 2006-07-10.

When was the information pertaining to Andre Marcel Acebo most recently updated or revised?

The details related to Andre Marcel Acebo, including its address, specialty, and other relevant information, were last updated or revised on 2021-06-18.

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