William Brent Fetzer in Hermitage - Sports Physician
William Brent Fetzer - NPI 1588639561
William Brent Fetzer is a Sports Physician in Hermitage, Tennessee. William Brent Fetzer practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for William Brent Fetzer is 1588639561. The last update date is 2007-07-08.
William Brent Fetzer's current location address is 3441 Lebanon Pike, Hermitage, Tennessee. You can contact this provider via phone number 6158719000 and fax number 6158719018. The mailing address for William Brent Fetzer is 3441 Lebanon Pike, Hermitage, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William Brent Fetzer |
|---|---|
| Address | 3441 Lebanon Pike, Hermitage, Tennessee |
| Phone Number | 6158719000 |
| Fax Number | 6158719018 |
| Sole Proprietor | X |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1588639561 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3441 Lebanon Pike |
|---|---|
| City | Hermitage |
| State | Tennessee (TN) |
| Post Code | 370762000 |
| Phone Number | 6158719000 |
| Fax Number | 6158719018 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | DC768 |
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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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What is the William Brent Fetzer's 1588639561?
The William Brent Fetzer's NPI (National Provider Identifier) Number is 1588639561. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where William Brent Fetzer is located?
The William Brent Fetzer is situated at the following address: 3441 Lebanon Pike, Hermitage, TN, 370762000.
What is William Brent Fetzer's area of expertise and its corresponding taxonomy classification?
The William Brent Fetzer's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
When did the William Brent Fetzer receive its 1588639561?
The William Brent Fetzer was issued its 1588639561 on 2006-02-22, which is the date when the organization was assigned this unique identifier.
When was the William Brent Fetzer's information last updated?
The William Brent Fetzer's information was last updated on 2007-07-08.
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