Chirosport Pc is a Sports Physician in Brandon, South Dakota. Chirosport Pc practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Chirosport Pc is 1861511479. The last update date is 2012-09-05.
Chirosport Pc's current location address is 128 E Holly Blvd, Brandon, South Dakota. You can contact this provider via phone number 6055828800. The mailing address for Chirosport Pc is 128 E Holly Blvd, Brandon, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chirosport Pc |
|---|---|
| Address | 128 E Holly Blvd, Brandon, South Dakota |
| Phone Number | 6055828800 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINIC MAN |
|---|---|
| Authorized Official Name | Honner M Paige |
| Telephone Number | 6052019191 |
NPI Number Detail
| NPI Number | 1861511479 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2012-09-05 |
Provider Mailing Address Detail
| Address | 128 E Holly Blvd |
|---|---|
| City | Brandon |
| State | South Dakota (SD) |
| Post Code | 570051114 |
| Phone Number | 6055828800 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1019 |
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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 |
|---|---|---|---|
| 7601810 | SD | -- | |
| 4995646 | SD | BCBS PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Chirosport Pc by the Centers for Medicare & Medicaid Services?
The Chirosport Pc has been issued the NPI (National Provider Identifier) 1861511479, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Chirosport Pc's facilities are situated?
The facilities of Chirosport Pc are physically located at the following address: 128 E Holly Blvd, Brandon, SD, 570051114.
What is Chirosport Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Chirosport Pc is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
When was the Chirosport Pc's 1861511479 issued?
The Chirosport Pc's 1861511479 was issued on 2007-03-28.
As of what date were the details pertaining to Chirosport Pc last refreshed?
The information related to the Chirosport Pc, including its address, specialty, and other relevant details, was last updated on 2012-09-05.