Susan Draper White in Springfield - Sports Physician
Susan Draper White - NPI 1902804024
Susan Draper White is a Sports Physician in Springfield, Oregon. Susan Draper White practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Susan Draper White is 1902804024. The last update date is 2009-09-02.
Susan Draper White's current location address is 6803 C St, Springfield, Oregon. You can contact this provider via phone number 5415790314. The mailing address for Susan Draper White is 6803 C St, Springfield, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Draper White |
|---|---|
| Address | 6803 C St, Springfield, Oregon |
| Phone Number | 5415790314 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1902804024 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2009-09-02 |
Provider Mailing Address Detail
| Address | 6803 C St |
|---|---|
| City | Springfield |
| State | Oregon (OR) |
| Post Code | 974787389 |
| Phone Number | 5415790314 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 5776 |
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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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What is the unique identifier code issued to Susan Draper White by the Centers for Medicare & Medicaid Services?
The Susan Draper White has been assigned the NPI (National Provider Identifier) 1902804024. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Susan Draper White's physical address?
The Susan Draper White is physically located at 6803 C St, in the city of Springfield, OR, with the postal code 974787389.
What is Susan Draper White's area of expertise and its corresponding taxonomy classification?
The Susan Draper White's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Susan Draper White receive its 1902804024 assignment from the Centers for Medicare & Medicaid Services?
The Susan Draper White was assigned its 1902804024 by the Centers for Medicare & Medicaid Services on 2005-07-12.
As of what date were the Susan Draper White's details last updated?
The information pertaining to the Susan Draper White, including its address, specialty, and other details, was most recently updated on 2009-09-02.