Jeff Lyle Wolff in Mobridge - Sports Physician
Jeff Lyle Wolff - NPI 1760453716
Jeff Lyle Wolff is a Sports Physician in Mobridge, South Dakota. Jeff Lyle Wolff practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jeff Lyle Wolff is 1760453716. The last update date is 2012-10-12.
Jeff Lyle Wolff's current location address is 622 W Grand Xing, Mobridge, South Dakota. You can contact this provider via phone number 6058455757. The mailing address for Jeff Lyle Wolff is 622 W Grand Xing, Mobridge, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeff Lyle Wolff |
|---|---|
| Address | 622 W Grand Xing, Mobridge, South Dakota |
| Phone Number | 6058455757 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760453716 |
|---|---|
| Provider Enumeration Date | 2006-01-29 |
| Last Updated Date | 2012-10-12 |
Provider Mailing Address Detail
| Address | 622 W Grand Xing |
|---|---|
| City | Mobridge |
| State | South Dakota (SD) |
| Post Code | 576012051 |
| Phone Number | 6058455757 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 710 |
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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 |
|---|---|---|---|
| 7602862 | SD | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jeff Lyle Wolff?
The Jeff Lyle Wolff has been issued the NPI (National Provider Identifier) 1760453716 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Jeff Lyle Wolff is located?
The Jeff Lyle Wolff is situated at the following address: 622 W Grand Xing, Mobridge, SD, 576012051.
What is Jeff Lyle Wolff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeff Lyle Wolff is Sports Physician, and the corresponding taxonomy classification code for this specialized field is 111Ns0005X.
When did the Jeff Lyle Wolff receive its 1760453716?
The Jeff Lyle Wolff was issued its 1760453716 on 2006-01-29, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Jeff Lyle Wolff, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jeff Lyle Wolff, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-10-12.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA