Shawn Michael Bladel in Rockford - Chiropractor
Shawn Michael Bladel - NPI 1770644908
Shawn Michael Bladel is a Chiropractor in Rockford, Illinois. Shawn Michael Bladel practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Shawn Michael Bladel is 1770644908. The last update date is 2022-07-21.
Shawn Michael Bladel's current location address is 329 Amphitheater Dr, Rockford, Illinois. You can contact this provider via phone number 7792103994. The mailing address for Shawn Michael Bladel is 329 Amphitheater Dr, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shawn Michael Bladel |
|---|---|
| Address | 329 Amphitheater Dr, Rockford, Illinois |
| Phone Number | 7792103994 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1770644908 |
|---|---|
| Provider Enumeration Date | 2006-12-12 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 329 Amphitheater Dr |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611076662 |
| Phone Number | 7792103994 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 38.01082 |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38.01082 | IL | STATE OF ILLINOIS LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Shawn Michael Bladel by the Centers for Medicare & Medicaid Services?
The Shawn Michael Bladel has been issued the NPI (National Provider Identifier) 1770644908. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Shawn Michael Bladel is physically located?
The Shawn Michael Bladel is physically situated at the following address: 329 Amphitheater Dr, Rockford, IL, 611076662.
What is the Shawn Michael Bladel's area of specialization and corresponding taxonomy classification?
The Shawn Michael Bladel's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1770644908 to Shawn Michael Bladel?
The Shawn Michael Bladel received its 1770644908 assignment from the Centers for Medicare & Medicaid Services on 2006-12-12.
As of what date was the information pertaining to Shawn Michael Bladel, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shawn Michael Bladel, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-07-21.