Maria M Maricich in Ketchum - Sports Physician
Maria M Maricich - NPI 1962542332
Maria M Maricich is a Sports Physician in Ketchum, Idaho. Maria M Maricich practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Maria M Maricich is 1962542332. The last update date is 2014-03-25.
Maria M Maricich's current location address is Po Box 6459, Ketchum, Idaho. You can contact this provider via phone number 2087266010 and fax number 2087266010. The mailing address for Maria M Maricich is Po Box 6459, Ketchum, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maria M Maricich |
|---|---|
| Address | Po Box 6459, Ketchum, Idaho |
| Phone Number | 2087266010 |
| Fax Number | 2087266010 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1962542332 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2014-03-25 |
Provider Mailing Address Detail
| Address | Po Box 6459 |
|---|---|
| City | Ketchum |
| State | Idaho (ID) |
| Post Code | 83340 |
| Phone Number | 2087266010 |
| Fax Number | 2087266010 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CHIA622 |
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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 |
|---|---|---|---|
| C622-8 | ID | BLUE CROSS | |
| 0000-1002-0870 | ID | BLUE SHEILD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Maria M Maricich by the Centers for Medicare & Medicaid Services?
The Maria M Maricich has been issued the NPI (National Provider Identifier) 1962542332, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Maria M Maricich's facilities are geographically located?
The facilities of Maria M Maricich are physically situated at the following location: Po Box 6459, Ketchum, ID, 83340.
What is the Maria M Maricich's area of specialization and corresponding taxonomy classification?
The Maria M Maricich'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 Maria M Maricich receive its 1962542332 assignment from the Centers for Medicare & Medicaid Services?
The Maria M Maricich was assigned its 1962542332 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Maria M Maricich most recently updated?
The details pertaining to the Maria M Maricich, including its address, specialty, and other relevant information, were last refreshed on 2014-03-25.
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