Glen E Rooyakkers in Kimberly - Sports Physician
Glen E Rooyakkers - NPI 1568572477
Glen E Rooyakkers is a Sports Physician in Kimberly, Wisconsin. Glen E Rooyakkers practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Glen E Rooyakkers is 1568572477. The last update date is 2010-07-14.
Glen E Rooyakkers's current location address is 702 Eisenhower Drive, Kimberly, Wisconsin. You can contact this provider via phone number 9207301155 and fax number 9207301148. The mailing address for Glen E Rooyakkers is 702 Eisenhower Drive, Kimberly, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen E Rooyakkers |
|---|---|
| Address | 702 Eisenhower Drive, Kimberly, Wisconsin |
| Phone Number | 9207301155 |
| Fax Number | 9207301148 |
| Sole Proprietor | N |
| Credentials | DC DACN |
NPI Number Detail
| NPI Number | 1568572477 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2010-07-14 |
Provider Mailing Address Detail
| Address | 702 Eisenhower Drive |
|---|---|
| City | Kimberly |
| State | Wisconsin (WI) |
| Post Code | 54136 |
| Phone Number | 9207301155 |
| Fax Number | 9207301148 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2603 012 |
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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 |
|---|---|---|---|
| 38848900 | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Glen E Rooyakkers?
The Glen E Rooyakkers has been issued the NPI (National Provider Identifier) 1568572477 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Glen E Rooyakkers?
The Glen E Rooyakkers is physically situated at 702 Eisenhower Drive, in the city of Kimberly, state of WI, with the postal code 54136.
What is Glen E Rooyakkers's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Glen E Rooyakkers is Sports Physician, and the taxonomy code that categorizes this field of expertise is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1568572477 to Glen E Rooyakkers?
The Glen E Rooyakkers received its 1568572477 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date were the details related to Glen E Rooyakkers most recently updated or revised?
The information pertaining to Glen E Rooyakkers, including its address, specialty, and other relevant details, was last updated or revised on 2010-07-14.
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