Jay Joseph Fitzgerald in Wagner - Sports Physician
Jay Joseph Fitzgerald - NPI 1447220603
Jay Joseph Fitzgerald is a Sports Physician in Wagner, South Dakota. Jay Joseph Fitzgerald practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jay Joseph Fitzgerald is 1447220603. The last update date is 2007-07-08.
Jay Joseph Fitzgerald's current location address is 109 1st. St. Sw, Wagner, South Dakota. You can contact this provider via phone number 6053845419 and fax number 6053845410. The mailing address for Jay Joseph Fitzgerald is 109 1st. St. Sw, Wagner, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jay Joseph Fitzgerald |
|---|---|
| Address | 109 1st. St. Sw, Wagner, South Dakota |
| Phone Number | 6053845419 |
| Fax Number | 6053845410 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1447220603 |
|---|---|
| Provider Enumeration Date | 2006-01-23 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 109 1st. St. Sw |
|---|---|
| City | Wagner |
| State | South Dakota (SD) |
| Post Code | 57380 |
| Phone Number | 6053845419 |
| Fax Number | 6053845410 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 840 |
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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 |
|---|---|---|---|
| 7604080 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jay Joseph Fitzgerald by the Centers for Medicare & Medicaid Services?
The Jay Joseph Fitzgerald has been issued the NPI (National Provider Identifier) 1447220603, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Jay Joseph Fitzgerald's physical address?
The Jay Joseph Fitzgerald is physically located at 109 1St. St. Sw, in the city of Wagner, SD, with the postal code 57380.
What is the area of specialization for Jay Joseph Fitzgerald, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jay Joseph Fitzgerald is Sports Physician, and the corresponding taxonomy code that categorizes this area of expertise is 111Ns0005X.
On what date did the Jay Joseph Fitzgerald receive its 1447220603 assignment from the Centers for Medicare & Medicaid Services?
The Jay Joseph Fitzgerald was assigned its 1447220603 by the Centers for Medicare & Medicaid Services on 2006-01-23.
When was the information pertaining to Jay Joseph Fitzgerald most recently updated or revised?
The details related to Jay Joseph Fitzgerald, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.