Richard Edward Nyberg in Tucker - Orthopedic

Richard Edward Nyberg - NPI 1366630345

Richard Edward Nyberg is a Orthopedic in Tucker, Georgia. Richard Edward Nyberg practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Richard Edward Nyberg is 1366630345. The last update date is 2007-10-04.

Richard Edward Nyberg's current location address is 2191 Northlake Pkwy, Tucker, Georgia. You can contact this provider via phone number 7704916004 and fax number 7707230872. The mailing address for Richard Edward Nyberg is 2191 Northlake Pkwy, Tucker, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Edward Nyberg
Address 2191 Northlake Pkwy, Tucker, Georgia
Phone Number 7704916004
Fax Number 7707230872
Sole Proprietor N
Credentials P.T.

NPI Number Detail

NPI Number 1366630345
Provider Enumeration Date 2007-10-04
Last Updated Date 2007-10-04

Provider Mailing Address Detail

Address 2191 Northlake Pkwy
City Tucker
State Georgia (GA)
Post Code 300844166
Phone Number 7704916004
Fax Number 7707230872

Provider's Primary Taxonomy Detail

Speciality Orthopedic
Taxonomy 2251X0800X
Licence No 897
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat

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FAQs about Richard Edward Nyberg

What is the Richard Edward Nyberg's unique identification number?

The Richard Edward Nyberg has been assigned the NPI (National Provider Identifier) Number 1366630345 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Richard Edward Nyberg's facilities are situated?

The facilities of Richard Edward Nyberg are physically located at the following address: 2191 Northlake Pkwy, Tucker, GA, 300844166.

What is the area of specialization for Richard Edward Nyberg, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Richard Edward Nyberg is Orthopedic, and the corresponding taxonomy code that categorizes this area of expertise is 2251X0800X.

When did the Richard Edward Nyberg receive its 1366630345?

The Richard Edward Nyberg was issued its 1366630345 on 2007-10-04, which is the date when the organization was assigned this unique identifier.

When was the information regarding Richard Edward Nyberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Richard Edward Nyberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-04.

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