Luis Miguel Nicacio in Richland - Sports Physician
Luis Miguel Nicacio - NPI 1750439063
Luis Miguel Nicacio is a Sports Physician in Richland, Washington. Luis Miguel Nicacio practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Luis Miguel Nicacio is 1750439063. The last update date is 2010-07-27.
Luis Miguel Nicacio's current location address is 2568 Queensgate Drive, Richland, Washington. You can contact this provider via phone number 5096283745 and fax number 8882248375. The mailing address for Luis Miguel Nicacio is 2568 Queensgate Drive, Richland, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Luis Miguel Nicacio |
|---|---|
| Address | 2568 Queensgate Drive, Richland, Washington |
| Phone Number | 5096283745 |
| Fax Number | 8882248375 |
| Sole Proprietor | Y |
| Credentials | D.C., C.C. |
NPI Number Detail
| NPI Number | 1750439063 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2010-07-27 |
Provider Mailing Address Detail
| Address | 2568 Queensgate Drive |
|---|---|
| City | Richland |
| State | Washington (WA) |
| Post Code | 99352 |
| Phone Number | 5096283745 |
| Fax Number | 8882248375 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2916 |
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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 unique 10-digit identifier code issued to Luis Miguel Nicacio by the Centers for Medicare & Medicaid Services?
The Luis Miguel Nicacio has been assigned the NPI (National Provider Identifier) 1750439063 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Luis Miguel Nicacio is physically located?
The Luis Miguel Nicacio is situated at the following address: 2568 Queensgate Drive, Richland, WA 99352.
What is Luis Miguel Nicacio's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Luis Miguel Nicacio is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
On what date did the Luis Miguel Nicacio receive its 1750439063 assignment from the Centers for Medicare & Medicaid Services?
The Luis Miguel Nicacio was assigned its 1750439063 by the Centers for Medicare & Medicaid Services on 2007-01-05.
When was the information regarding Luis Miguel Nicacio, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Luis Miguel Nicacio, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-27.
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