Robert H Iversen in Mc Lean - Sports Physician
Robert H Iversen - NPI 1114017290
Robert H Iversen is a Sports Physician in Mc Lean, Virginia. Robert H Iversen practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Robert H Iversen is 1114017290. The last update date is 2010-02-01.
Robert H Iversen's current location address is 1651 Old Meadow Rd, Mc Lean, Virginia. You can contact this provider via phone number 7035060213. The mailing address for Robert H Iversen is 1651 Old Meadow Rd, Mc Lean, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert H Iversen |
|---|---|
| Address | 1651 Old Meadow Rd, Mc Lean, Virginia |
| Phone Number | 7035060213 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.C., C.C. |
NPI Number Detail
| NPI Number | 1114017290 |
|---|---|
| Provider Enumeration Date | 2006-10-13 |
| Last Updated Date | 2010-02-01 |
Provider Mailing Address Detail
| Address | 1651 Old Meadow Rd |
|---|---|
| City | Mc Lean |
| State | Virginia (VA) |
| Post Code | 221024311 |
| Phone Number | 7035060213 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 4858 |
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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 |
|---|---|---|---|
| AZ0242900 | AZ | BCBS | |
| AW2551 | AZ | HEALTHNET | |
| 162173 | AZ | -- | |
| 2455228 | AZ | AETNA |
Post Comment/ Review Below
What is the unique identification code assigned to Robert H Iversen by the Centers for Medicare & Medicaid Services?
The Robert H Iversen has been issued the NPI (National Provider Identifier) 1114017290. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Robert H Iversen is geographically located?
The Robert H Iversen is physically situated at the following location: 1651 Old Meadow Rd, Mc Lean, VA, 221024311.
What is Robert H Iversen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert H Iversen is Sports Physician, and the taxonomy code that classifies this field of practice is 111Ns0005X.
When did Robert H Iversen receive its 1114017290 assignment?
The Robert H Iversen was assigned its 1114017290 on 2006-10-13, which is the date when this unique identifier was issued to the organization.
When was the information regarding Robert H Iversen most recently updated?
The details pertaining to the Robert H Iversen, including its address, specialty, and other relevant information, were last refreshed on 2010-02-01.
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