Alisa T Mitskog in Wahpeton - Sports Physician
Alisa T Mitskog - NPI 1578598587
Alisa T Mitskog is a Sports Physician in Wahpeton, North Dakota. Alisa T Mitskog practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Alisa T Mitskog is 1578598587. The last update date is 2016-07-06.
Alisa T Mitskog's current location address is 319 11th St N, Wahpeton, North Dakota. You can contact this provider via phone number 7016426480 and fax number 7016426011. The mailing address for Alisa T Mitskog is 319 11th St N, Wahpeton, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alisa T Mitskog |
|---|---|
| Address | 319 11th St N, Wahpeton, North Dakota |
| Phone Number | 7016426480 |
| Fax Number | 7016426011 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1578598587 |
|---|---|
| Provider Enumeration Date | 2006-07-11 |
| Last Updated Date | 2016-07-06 |
Provider Mailing Address Detail
| Address | 319 11th St N |
|---|---|
| City | Wahpeton |
| State | North Dakota (ND) |
| Post Code | 580754111 |
| Phone Number | 7016426480 |
| Fax Number | 7016426011 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 500 |
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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 |
|---|---|---|---|
| 922509900 | MN | -- | |
| 17175 | ND | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Alisa T Mitskog by the Centers for Medicare & Medicaid Services (CMS)?
The Alisa T Mitskog has been assigned the NPI (National Provider Identifier) 1578598587. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Alisa T Mitskog is physically located?
The Alisa T Mitskog is physically situated at the following address: 319 11Th St N, Wahpeton, ND, 580754111.
What is Alisa T Mitskog's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Alisa T Mitskog is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Alisa T Mitskog receive its 1578598587 assignment from the Centers for Medicare & Medicaid Services?
The Alisa T Mitskog was assigned its 1578598587 by the Centers for Medicare & Medicaid Services on 2006-07-11.
When was the Alisa T Mitskog's information last updated?
The Alisa T Mitskog's information was last updated on 2016-07-06.