Susan R. Duncan in Blue Grass - Sports Physician
Susan R. Duncan - NPI 1518010768
Susan R. Duncan is a Sports Physician in Blue Grass, Iowa. Susan R. Duncan practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Susan R. Duncan is 1518010768. The last update date is 2007-07-08.
Susan R. Duncan's current location address is 301 E Mayne St, Blue Grass, Iowa. You can contact this provider via phone number 5633812010. The mailing address for Susan R. Duncan is 301 E Mayne St, Blue Grass, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan R. Duncan |
|---|---|
| Address | 301 E Mayne St, Blue Grass, Iowa |
| Phone Number | 5633812010 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1518010768 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 301 E Mayne St |
|---|---|
| City | Blue Grass |
| State | Iowa (IA) |
| Post Code | 527269794 |
| Phone Number | 5633812010 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 4805 |
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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) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 252395 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Susan R. Duncan by the Centers for Medicare & Medicaid Services?
The Susan R. Duncan has been issued the NPI (National Provider Identifier) 1518010768 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Susan R. Duncan is located?
The Susan R. Duncan is situated at the following address: 301 E Mayne St, Blue Grass, IA, 527269794.
What is Susan R. Duncan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susan R. Duncan is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Susan R. Duncan receive its 1518010768 assignment from the Centers for Medicare & Medicaid Services?
The Susan R. Duncan was assigned its 1518010768 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the Susan R. Duncan's details last updated?
The information pertaining to the Susan R. Duncan, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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