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Jerome Allan Fagerstrom, DC
Chiropractor in Beloit, Wisconsin
NPI 1205852738

Jerome Allan Fagerstrom is a Chiropractor based in Beloit, WI. Jerome Allan Fagerstrom practices in Beloit, WI and has the professional credentials of DC. The NPI Number for Jerome Allan Fagerstrom is 1205852738 and holds a License No. 3406 (Wisconsin).

The current practice location address for Jerome Allan Fagerstrom is 654 Bluff St, Beloit, WI and can be reached out via phone at 608-362-7652 and via fax at 608-362-7296.

Location: 654 Bluff St, Beloit, WI, 53511-6156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205852738
Provider Name
Jerome Allan Fagerstrom
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
654 Bluff St, Beloit, WI, 53511-6156
Phone Number
608-362-7652
Fax Number
608-362-7296
Provider Enumeration Date
07/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
38899100 05 WI
institution
Provider Business Practice Location Address Details
Address
654 Bluff St
City
Beloit
State
Wisconsin
Zip
53511-6156
Phone Number
608-362-7652
Fax Number
608-362-7296
person
Provider Business Mailing Address Details
Address
654 Bluff St
City
Beloit
State
Wisconsin
Zip
53511-6156
Phone Number
608-362-7652
Fax Number
608-362-7296
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3406 (Wisconsin)
Definition
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.
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