Jonathan W Deitz is a Chiropractor in Fargo, North Dakota. Jonathan W Deitz practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jonathan W Deitz is 1306961768. The last update date is 2013-09-10.
Jonathan W Deitz's current location address is 4325 13th Ave S, Fargo, North Dakota. You can contact this provider via phone number 7012121419. The mailing address for Jonathan W Deitz is 4325 13th Ave S, Fargo, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan W Deitz |
|---|---|
| Address | 4325 13th Ave S, Fargo, North Dakota |
| Phone Number | 7012121419 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1306961768 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2013-09-10 |
Provider Mailing Address Detail
| Address | 4325 13th Ave S |
|---|---|
| City | Fargo |
| State | North Dakota (ND) |
| Post Code | 581033341 |
| Phone Number | 7012121419 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 682 |
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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 |
|---|---|---|---|
| 19091 | ND | BCBS OF ND PROVIDER # | |
| 11334 | ND | -- |
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What is the unique 10-digit identifier code issued to Jonathan W Deitz by the Centers for Medicare & Medicaid Services?
The Jonathan W Deitz has been assigned the NPI (National Provider Identifier) 1306961768 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jonathan W Deitz located?
The Jonathan W Deitz is located at 4325 13Th Ave S, Fargo, ND 581033341.
What is Jonathan W Deitz's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Jonathan W Deitz is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1306961768 to Jonathan W Deitz?
The Centers for Medicare & Medicaid Services assigned the 1306961768 to Jonathan W Deitz on 2007-03-21.
As of what date was the information pertaining to Jonathan W Deitz, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jonathan W Deitz, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-09-10.