Brian Vance Jongeward in Grand Forks - Rehabilitation

Brian Vance Jongeward - NPI 1376620831

Brian Vance Jongeward is a Rehabilitation in Grand Forks, North Dakota. Brian Vance Jongeward practices all healthcare services and medical treatments related to Rehabilitation. The NPI Number for Brian Vance Jongeward is 1376620831. The last update date is 2007-07-08.

Brian Vance Jongeward's current location address is 2812 17th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017750223 and fax number 7017380655. The mailing address for Brian Vance Jongeward is 2812 17th Ave S, Grand Forks, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Vance Jongeward
Address 2812 17th Ave S, Grand Forks, North Dakota
Phone Number 7017750223
Fax Number 7017380655
Sole Proprietor N
Credentials DC

NPI Number Detail

NPI Number 1376620831
Provider Enumeration Date 2006-11-01
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2812 17th Ave S
City Grand Forks
State North Dakota (ND)
Post Code 582014048
Phone Number 7017750223
Fax Number 7017380655

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 111Nr0400X
Licence No 611
Definition:
Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
18728 ND --

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FAQs about Brian Vance Jongeward

What is the unique identifier code issued to Brian Vance Jongeward by the Centers for Medicare & Medicaid Services?

The Brian Vance Jongeward has been assigned the NPI (National Provider Identifier) 1376620831. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Brian Vance Jongeward's facilities are geographically located?

The facilities of Brian Vance Jongeward are physically situated at the following location: 2812 17Th Ave S, Grand Forks, ND, 582014048.

What is Brian Vance Jongeward's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brian Vance Jongeward is Rehabilitation, and the taxonomy code that categorizes this field of expertise is 111Nr0400X.

On what date did the Centers for Medicare & Medicaid Services assign the 1376620831 to Brian Vance Jongeward?

The Centers for Medicare & Medicaid Services assigned the 1376620831 to Brian Vance Jongeward on 2006-11-01.

When was the Brian Vance Jongeward's information last updated?

The Brian Vance Jongeward's information was last updated on 2007-07-08.

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