Jerome Allan Fagerstrom is a Beloit, Wisconsin based male chiropractor who is specialized as General Chiropractor. Active license number of Jerome Allan Fagerstrom as General Chiropractor is 3406 in Wisconsin. Jerome Allan Fagerstrom is qualified as 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.
Complete Profile:
Jerome Allan Fagerstrom speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Chiropractor
Credentials:
DC
Gender:
Male
Practice Address:
654 Bluff St, Beloit, Wisconsin, 53511-6156
Phone:
608-362-7652
Fax:
608-362-7296
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1205852738
NPI Enumeration Date:
15 Jul, 2006
NPI Last Update On:
10 Dec, 2015
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jerome Allan Fagerstrom are as mentioned below.
License Number
Specialization
State
Status
3406
Chiropractor
Wisconsin
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jerome Allan Fagerstrom such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
38899100
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
654 Bluff St, Beloit, Wisconsin
Zip:
53511-6156
Phone Number:
608-362-7652
Fax Number:
608-362-7296
Patients can reach Jerome Allan Fagerstrom at 654 Bluff St, Beloit, Wisconsin or can call to book an appointment on 608-362-7652. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.