Sara Jean Cuperus in Sartell - Sports Physician

Sara Jean Cuperus - NPI 1528064342

Sara Jean Cuperus is a Sports Physician in Sartell, Minnesota. Sara Jean Cuperus practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Sara Jean Cuperus is 1528064342. The last update date is 2017-01-04.

Sara Jean Cuperus's current location address is 2380 Troop Drive, Sartell, Minnesota. You can contact this provider via phone number 3202550961 and fax number 3202584001. The mailing address for Sara Jean Cuperus is 2380 Troop Drive, Sartell, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Sara Jean Cuperus
Address 2380 Troop Drive, Sartell, Minnesota
Phone Number 3202550961
Fax Number 3202584001
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1528064342
Provider Enumeration Date 2005-06-27
Last Updated Date 2017-01-04

Provider Mailing Address Detail

Address 2380 Troop Drive
City Sartell
State Minnesota (MN)
Post Code 563774637
Phone Number 3202550961
Fax Number 3202584001

Provider's Primary Taxonomy Detail

Speciality Sports Physician
Taxonomy 111Ns0005X
Licence No 4331
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
331J2CH MN BCBS CLINIC PROVIDER #
C03940 MN MEDICARE CLINIC ID
332J9KL MN BCBS INDIVIDUAL #
350056798 MN RAILROAD MEDICARE
777641100 MN MN HEALTH CARE PROGRAMS

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FAQs about Sara Jean Cuperus

What is the Sara Jean Cuperus's 1528064342?

The Sara Jean Cuperus's NPI (National Provider Identifier) Number is 1528064342. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Sara Jean Cuperus's physical address?

The Sara Jean Cuperus is physically located at 2380 Troop Drive, in the city of Sartell, MN, with the postal code 563774637.

What is Sara Jean Cuperus's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Sara Jean Cuperus is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.

On what date did the Centers for Medicare & Medicaid Services issue the 1528064342 to Sara Jean Cuperus?

The Sara Jean Cuperus received its 1528064342 assignment from the Centers for Medicare & Medicaid Services on 2005-06-27.

When was the information pertaining to Sara Jean Cuperus most recently updated or revised?

The details related to Sara Jean Cuperus, including its address, specialty, and other relevant information, were last updated or revised on 2017-01-04.

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