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ROCHESTER SPORTS CHIROPRACTIC PLLC NPI 1801447933


NPI Information

NPI: 1801447933
Provider Name: ROCHESTER SPORTS CHIROPRACTIC, PLLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
10 ASSEMBLY DR STE 105
MENDON, NY
ZIP 14506
Phone: (585) 497-7078
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ROCHESTER SPORTS CHIROPRACTIC, PLLC is a chiropractor in Mendon, NY. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ROCHESTER SPORTS CHIROPRACTIC, PLLC NPI is 1801447933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 ASSEMBLY DR STE 105
MENDON, NY
ZIP 14506-604
Phone: (585) 497-7078

The provider's authorized official is Keven E. Hagen .
The authorized official title is Provider and has the following contact phone number (585) 497-7078.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 9/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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