Jay J Meverden is a Sports Physician in Wausau, Wisconsin. Jay J Meverden practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Jay J Meverden is 1114126570. The last update date is 2007-08-13.
Jay J Meverden's current location address is 2600 Stewart Ave Ste 154, Wausau, Wisconsin. You can contact this provider via phone number 7148484088 and fax number 7158422497. The mailing address for Jay J Meverden is 2600 Stewart Ave Ste 154, Wausau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jay J Meverden |
|---|---|
| Address | 2600 Stewart Ave Ste 154, Wausau, Wisconsin |
| Phone Number | 7148484088 |
| Fax Number | 7158422497 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Meverden R Germaine |
| Telephone Number | 7158484088 |
NPI Number Detail
| NPI Number | 1114126570 |
|---|---|
| Provider Enumeration Date | 2007-07-16 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 2600 Stewart Ave Ste 154 |
|---|---|
| City | Wausau |
| State | Wisconsin (WI) |
| Post Code | 544011404 |
| Phone Number | 7148484088 |
| Fax Number | 7158422497 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 1673 |
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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 Jay J Meverden by the Centers for Medicare & Medicaid Services (CMS)?
The Jay J Meverden has been assigned the NPI (National Provider Identifier) 1114126570. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Jay J Meverden located?
The Jay J Meverden is located at 2600 Stewart Ave Ste 154, Wausau, WI 544011404.
What is Jay J Meverden's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jay J Meverden's area of specialization is Sports Physician, and the corresponding taxonomy code that categorizes this field of practice is 111Ns0005X.
On what date did Jay J Meverden receive its 1114126570 assignment from the Centers for Medicare & Medicaid Services?
The Jay J Meverden was assigned its 1114126570 on 2007-07-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Jay J Meverden most recently updated or revised?
The details related to Jay J Meverden, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-13.