Charles Fred Decker in Kalamazoo - Sports Physician

Charles Fred Decker - NPI 1659591709

Charles Fred Decker is a Sports Physician in Kalamazoo, Michigan. Charles Fred Decker practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Charles Fred Decker is 1659591709. The last update date is 2012-05-31.

Charles Fred Decker's current location address is 913 N Dartmouth St, Kalamazoo, Michigan. You can contact this provider via phone number 2698737815 and fax number 2693812808. The mailing address for Charles Fred Decker is 913 N Dartmouth St, Kalamazoo, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles Fred Decker
Address 913 N Dartmouth St, Kalamazoo, Michigan
Phone Number 2698737815
Fax Number 2693812808
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1659591709
Provider Enumeration Date 2007-04-30
Last Updated Date 2012-05-31

Provider Mailing Address Detail

Address 913 N Dartmouth St
City Kalamazoo
State Michigan (MI)
Post Code 490063304
Phone Number 2698737815
Fax Number 2693812808

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 2301009520
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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FAQs about Charles Fred Decker

What is the unique provider identifier assigned to Charles Fred Decker?

The Charles Fred Decker has been issued the NPI (National Provider Identifier) 1659591709 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Charles Fred Decker?

The Charles Fred Decker is physically situated at 913 N Dartmouth St, in the city of Kalamazoo, state of MI, with the postal code 490063304.

What is the Charles Fred Decker's specialty and taxonomy code?

The Charles Fred Decker's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services issue the 1659591709 to Charles Fred Decker?

The Charles Fred Decker received its 1659591709 assignment from the Centers for Medicare & Medicaid Services on 2007-04-30.

When was the information regarding Charles Fred Decker most recently updated?

The details pertaining to the Charles Fred Decker, including its address, specialty, and other relevant information, were last refreshed on 2012-05-31.

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