Todd Ponick is a Sports Physician in Stanley, Wisconsin. Todd Ponick practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Todd Ponick is 1417964826. The last update date is 2007-07-08.
Todd Ponick's current location address is 9520 County Highway H, Stanley, Wisconsin. You can contact this provider via phone number 7156445428 and fax number 7156445486. The mailing address for Todd Ponick is 9520 County Highway H, Stanley, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Ponick |
|---|---|
| Address | 9520 County Highway H, Stanley, Wisconsin |
| Phone Number | 7156445428 |
| Fax Number | 7156445486 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1417964826 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9520 County Highway H |
|---|---|
| City | Stanley |
| State | Wisconsin (WI) |
| Post Code | 54768 |
| Phone Number | 7156445428 |
| Fax Number | 7156445486 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 2802 |
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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 |
|---|---|---|---|
| 38861300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Todd Ponick by the Centers for Medicare & Medicaid Services?
The Todd Ponick has been assigned the NPI (National Provider Identifier) 1417964826 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Todd Ponick?
The Todd Ponick is physically situated at 9520 County Highway H, in the city of Stanley, state of WI, with the postal code 54768.
What is Todd Ponick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Todd Ponick'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 Todd Ponick receive its 1417964826 assignment from the Centers for Medicare & Medicaid Services?
The Todd Ponick was assigned its 1417964826 on 2006-08-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Todd Ponick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Todd Ponick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.