Allen County Family & Sports Chiropractic in Fort Wayne - Sports Physician
Allen County Family & Sports Chiropractic - NPI 1205933165
Allen County Family & Sports Chiropractic is a Sports Physician in Fort Wayne, Indiana. Allen County Family & Sports Chiropractic practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Allen County Family & Sports Chiropractic is 1205933165. The last update date is 2020-08-22.
Allen County Family & Sports Chiropractic's current location address is 3835 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604327339. The mailing address for Allen County Family & Sports Chiropractic is 3835 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Allen County Family & Sports Chiropractic |
|---|---|
| Address | 3835 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604327339 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Levesque-Hartle Lillian Ma Monique |
| Credentials | D.C. |
| Telephone Number | 2604327339 |
NPI Number Detail
| NPI Number | 1205933165 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3835 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046809 |
| Phone Number | 2604327339 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 8001622 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Allen County Family & Sports Chiropractic by the Centers for Medicare & Medicaid Services?
The Allen County Family & Sports Chiropractic has been assigned the NPI (National Provider Identifier) 1205933165. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Allen County Family & Sports Chiropractic is geographically located?
The Allen County Family & Sports Chiropractic is physically situated at the following location: 3835 W Jefferson Blvd, Fort Wayne, IN, 468046809.
What is Allen County Family & Sports Chiropractic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Allen County Family & Sports Chiropractic's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205933165 to Allen County Family & Sports Chiropractic?
The Centers for Medicare & Medicaid Services assigned the 1205933165 to Allen County Family & Sports Chiropractic on 2006-09-20.
When was the Allen County Family & Sports Chiropractic's information last updated?
The Allen County Family & Sports Chiropractic's information was last updated on 2020-08-22.