David Mark Washa in Lacrosse - Sports Physician
David Mark Washa - NPI 1164580031
David Mark Washa is a Sports Physician in Lacrosse, Wisconsin. David Mark Washa practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for David Mark Washa is 1164580031. The last update date is 2008-05-22.
David Mark Washa's current location address is 1415 Us Hwy 16, Lacrosse, Wisconsin. You can contact this provider via phone number 6087857746 and fax number 6087822938. The mailing address for David Mark Washa is 1415 Us Hwy 16, Lacrosse, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Mark Washa |
|---|---|
| Address | 1415 Us Hwy 16, Lacrosse, Wisconsin |
| Phone Number | 6087857746 |
| Fax Number | 6087822938 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1164580031 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2008-05-22 |
Provider Mailing Address Detail
| Address | 1415 Us Hwy 16 |
|---|---|
| City | Lacrosse |
| State | Wisconsin (WI) |
| Post Code | 54601 |
| Phone Number | 6087857746 |
| Fax Number | 6087822938 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2535 |
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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 |
|---|---|---|---|
| 279J7WA | MN | BLUE CROSS BLUE SHIELD | |
| 391762498 | WI | FED TAX | |
| 391762498015 | WI | BLUE CROSS BLUE SHIELD | |
| P00046865 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to David Mark Washa by the Centers for Medicare & Medicaid Services?
The David Mark Washa has been assigned the NPI (National Provider Identifier) 1164580031 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of David Mark Washa?
The David Mark Washa is situated at 1415 Us Hwy 16, in the city of Lacrosse, state of WI, with the zip code 54601.
What is David Mark Washa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The David Mark Washa's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did David Mark Washa receive its 1164580031 assignment from the Centers for Medicare & Medicaid Services?
The David Mark Washa was assigned its 1164580031 on 2006-12-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding David Mark Washa most recently updated?
The details pertaining to the David Mark Washa, including its address, specialty, and other relevant information, were last refreshed on 2008-05-22.