Individual provider · Type 1 NPI
Mickey A. Fuson, DC
Chiropractor · Bloomington, IL
NPI number
1992050074
Active
Practice location
2415 E Washington St, Suite F
Bloomington, IL 61704-4473
Mailing address
2415 E Washington St Ste F
Bloomington, IL 61704-1609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 038004294 (IL) |
Chiropractor: 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.
4 other providers at this address
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About NPI 1992050074
Mickey A. Fuson, DC's National Provider Identifier is 1992050074, issued on Jul 16, 2012. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Bloomington, IL. The record was last updated on Jul 16, 2012.