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NPI Code Detail

MEDICARE: DR. TASHA MESSER D.C.

MEDICARE: DR. TASHA MESSER D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038.012965IL

General Provider Information

NPI Number : 1245789205
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASHA MESSER D.C.
Provider Business Mailing Address
First Line : 4855 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2274
Country : US
Telephone Number : 815-398-8111
Fax Number :
Provider Business Practice Location Address
First Line : 4855 E STATE ST
Second Line :
City : ROCKFORD
State : IL
Zip : 61108-2274
Country : US
Telephone Number : 815-398-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2016
Last Update Date : 09/30/2016

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