Brian Wayne Stutzman in Meridian - Chiropractor

Brian Wayne Stutzman - NPI 1033268545

Brian Wayne Stutzman is a Chiropractor in Meridian, Idaho. Brian Wayne Stutzman practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Brian Wayne Stutzman is 1033268545. The last update date is 2007-07-09.

Brian Wayne Stutzman's current location address is 1580 W 4th St Ste 103, Meridian, Idaho. You can contact this provider via phone number 2088889292 and fax number 2088883231. The mailing address for Brian Wayne Stutzman is 1580 W 4th St Ste 103, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Wayne Stutzman
Address 1580 W 4th St Ste 103, Meridian, Idaho
Phone Number 2088889292
Fax Number 2088883231
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1033268545
Provider Enumeration Date 2007-01-10
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 1580 W 4th St Ste 103
City Meridian
State Idaho (ID)
Post Code 836422182
Phone Number 2088889292
Fax Number 2088883231

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No CHIA-708
Definition:
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
C708-5 ID BLUE CROSS
10029531 ID REGENCE BLUE SHIELD

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FAQs about Brian Wayne Stutzman

What is the unique provider identifier assigned to Brian Wayne Stutzman?

The Brian Wayne Stutzman has been issued the NPI (National Provider Identifier) 1033268545 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Brian Wayne Stutzman's facilities are situated?

The facilities of Brian Wayne Stutzman are physically located at the following address: 1580 W 4Th St Ste 103, Meridian, ID, 836422182.

What is Brian Wayne Stutzman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Brian Wayne Stutzman's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did Brian Wayne Stutzman receive its 1033268545 assignment from the Centers for Medicare & Medicaid Services?

The Brian Wayne Stutzman was assigned its 1033268545 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Brian Wayne Stutzman's details last updated?

The information pertaining to the Brian Wayne Stutzman, including its address, specialty, and other details, was most recently updated on 2007-07-09.

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