David Eric Boll in Appleton - Sports Physician
David Eric Boll - NPI 1811063993
David Eric Boll is a Sports Physician in Appleton, Wisconsin. David Eric Boll practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for David Eric Boll is 1811063993. The last update date is 2007-07-08.
David Eric Boll's current location address is 1223 E Northland Ave, Appleton, Wisconsin. You can contact this provider via phone number 9208865008. The mailing address for David Eric Boll is 1223 E Northland Ave, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | David Eric Boll |
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Address | 1223 E Northland Ave, Appleton, Wisconsin |
Phone Number | 9208865008 |
Fax Number | |
Sole Proprietor | Y |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1811063993 |
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Provider Enumeration Date | 2006-11-28 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1223 E Northland Ave |
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City | Appleton |
State | Wisconsin (WI) |
Post Code | 549118415 |
Phone Number | 9208865008 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Sports Physician |
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Taxonomy | 111Ns0005X |
Licence No | 2759-012 |
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 assigned to David Eric Boll by the Centers for Medicare & Medicaid Services?
The David Eric Boll has been issued the NPI (National Provider Identifier) 1811063993 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the David Eric Boll located?
The David Eric Boll is located at 1223 E Northland Ave, Appleton, WI 549118415.
What is David Eric Boll's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Eric Boll's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
When did David Eric Boll receive its 1811063993 assignment?
The David Eric Boll was assigned its 1811063993 on 2006-11-28, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to David Eric Boll, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to David Eric Boll, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.