Ernest Richard Centofanti in Marlette - Sports Physician
Ernest Richard Centofanti - NPI 1073542858
Ernest Richard Centofanti is a Sports Physician in Marlette, Michigan. Ernest Richard Centofanti practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Ernest Richard Centofanti is 1073542858. The last update date is 2007-07-08.
Ernest Richard Centofanti's current location address is 3078 Main St, Marlette, Michigan. You can contact this provider via phone number 9896353828 and fax number 9896353828. The mailing address for Ernest Richard Centofanti is 3078 Main St, Marlette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ernest Richard Centofanti |
|---|---|
| Address | 3078 Main St, Marlette, Michigan |
| Phone Number | 9896353828 |
| Fax Number | 9896353828 |
| Sole Proprietor | Y |
| Credentials | D.C., C.C. |
NPI Number Detail
| NPI Number | 1073542858 |
|---|---|
| Provider Enumeration Date | 2006-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3078 Main St |
|---|---|
| City | Marlette |
| State | Michigan (MI) |
| Post Code | 484531292 |
| Phone Number | 9896353828 |
| Fax Number | 9896353828 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 5491 |
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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 |
|---|---|---|---|
| 950G65244 | MI | BLUE CROSS | |
| 2582862 | MI | -- |
Post Comment/ Review Below
What is the Ernest Richard Centofanti's 1073542858?
The Ernest Richard Centofanti's NPI (National Provider Identifier) Number is 1073542858. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ernest Richard Centofanti is physically located?
The Ernest Richard Centofanti is situated at the following address: 3078 Main St, Marlette, MI 484531292.
What is the Ernest Richard Centofanti's specialty and taxonomy code?
The Ernest Richard Centofanti's specialty is Sports Physician, and the corresponding taxonomy code is 111Ns0005X.
On what date did the Ernest Richard Centofanti receive the assignment of its 1073542858 from the Centers for Medicare & Medicaid Services?
The Ernest Richard Centofanti was issued its 1073542858 by the Centers for Medicare & Medicaid Services on 2006-07-02.
When was the Ernest Richard Centofanti's information last updated?
The Ernest Richard Centofanti's information was last updated on 2007-07-08.