Jeffrey A Pence in Burlington - Sports Physician
Jeffrey A Pence - NPI 1174639686
Jeffrey A Pence is a Sports Physician in Burlington, Iowa. Jeffrey A Pence practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jeffrey A Pence is 1174639686. The last update date is 2017-10-12.
Jeffrey A Pence's current location address is 3115 Agency St, Burlington, Iowa. You can contact this provider via phone number 3197521460 and fax number 3197521461. The mailing address for Jeffrey A Pence is 3115 Agency St, Burlington, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey A Pence |
|---|---|
| Address | 3115 Agency St, Burlington, Iowa |
| Phone Number | 3197521460 |
| Fax Number | 3197521461 |
| Sole Proprietor | N |
| Credentials | DC CCSP CS |
NPI Number Detail
| NPI Number | 1174639686 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2017-10-12 |
Provider Mailing Address Detail
| Address | 3115 Agency St |
|---|---|
| City | Burlington |
| State | Iowa (IA) |
| Post Code | 526011908 |
| Phone Number | 3197521460 |
| Fax Number | 3197521461 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | AO5225 |
|
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 |
|---|---|---|---|
| 27073 | IA | WELLMARK BC/BS | |
| 350036056 | IA | RAILROAD MEDICARE | |
| 270736 | IA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jeffrey A Pence by the Centers for Medicare & Medicaid Services?
The Jeffrey A Pence has been issued the NPI (National Provider Identifier) 1174639686 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jeffrey A Pence's physical address?
The Jeffrey A Pence is physically located at 3115 Agency St, in the city of Burlington, IA, with the postal code 526011908.
What is Jeffrey A Pence's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey A Pence is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did Jeffrey A Pence receive its 1174639686 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey A Pence was assigned its 1174639686 on 2006-08-21, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jeffrey A Pence's information last updated?
The Jeffrey A Pence's information was last updated on 2017-10-12.
NPI Number: 1699778829
Address: 1200 Oakleaf Way, Altoona, WI
NPI Number: 1154324168
Address: 175 S Union Blvd, Colorado Springs, CO