Jack Joseph Cacic in Lake Worth - Sports Physician
Jack Joseph Cacic - NPI 1922201284
Jack Joseph Cacic is a Sports Physician in Lake Worth, Florida. Jack Joseph Cacic practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jack Joseph Cacic is 1922201284. The last update date is 2007-07-08.
Jack Joseph Cacic's current location address is 17 N H St, Lake Worth, Florida. You can contact this provider via phone number 5615472210 and fax number 5615476689. The mailing address for Jack Joseph Cacic is 17 N H St, Lake Worth, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Joseph Cacic |
|---|---|
| Address | 17 N H St, Lake Worth, Florida |
| Phone Number | 5615472210 |
| Fax Number | 5615476689 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1922201284 |
|---|---|
| Provider Enumeration Date | 2007-06-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 17 N H St |
|---|---|
| City | Lake Worth |
| State | Florida (FL) |
| Post Code | 334603701 |
| Phone Number | 5615472210 |
| Fax Number | 5615476689 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | CH7724 |
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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 |
|---|---|---|---|
| 54015 | FL | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jack Joseph Cacic by the Centers for Medicare & Medicaid Services?
The Jack Joseph Cacic has been assigned the NPI (National Provider Identifier) 1922201284 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Jack Joseph Cacic is physically located?
The Jack Joseph Cacic is situated at the following address: 17 N H St, Lake Worth, FL 334603701.
What is Jack Joseph Cacic's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Joseph Cacic's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922201284 to Jack Joseph Cacic?
The Jack Joseph Cacic received its 1922201284 assignment from the Centers for Medicare & Medicaid Services on 2007-06-06.
As of what date was the information regarding Jack Joseph Cacic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Joseph Cacic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.