DR. MICKEY A FUSON (NPI# 1992050074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992050074 |
| Entity Type | Individual |
| Full Name | DR. MICKEY A FUSON |
| Credential | D.C. |
| Practice Address |
2415 E Washington St Suite F Bloomington IL 61704-4473 |
| Mailing Address |
2415 E Washington St Ste F Bloomington IL 61704-1609 |
| Practice Telephone | 3098387011 |
| Mailing Telephone | 3098387011 |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038004294 | IL | Chiropractic Providers |
| Street Address |
2415 E WASHINGTON ST SUITE F |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083653158 | Robert J Hermann | Chiropractor | 2415 E Washington St, Suite 'f', Bloomington, IL 61704-4473 | 2006-06-05 |
| 1437327814 | Julia Pascoe | Social Worker | 2415 E Washington St, Suite A1, Bloomington, IL 61704-4473 | 2008-02-19 |
| 1245416734 | Kabir Center for Health & Rehabilitation, Ltd | Chiropractor | 2415 E Washington St, Bloomington, IL 61704-4473 | 2008-01-14 |
| 1295874808 | Amyas Ahmed Kabir | Chiropractor | 2415 E Washington St, Suite F, Bloomington, IL 61704-4473 | 2007-02-06 |
| 1912097007 | Julie Lynn Salzbrunn | Chiropractor | 2415 E Washington St, Suite F, Bloomington, IL 61704-4473 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
| Find all providers in zip 61704 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197774 | Align Services Bloomington Pllc | Chiropractor | 2309 E Empire St Ste 200a, Bloomington, IL 61704-8636 | 2020-09-07 |
| 1245886647 | Jaclyn Lawfer | Chiropractor | 1210 Towanda Ave Ste 17, Bloomington, IL 61701-7415 | 2019-08-13 |
| 1578116190 | Zach Lundbohm | Chiropractor | 7700 W Old Shakopee Rd Ste 180, Bloomington, MN 55438-3302 | 2019-07-23 |
| 1396398020 | Anastasia Cannedy | Chiropractor | 3701 W Old Shakopee Rd Ste 550, Bloomington, MN 55431-3558 | 2019-07-22 |
| 1780236356 | Enhanced Health Chiropractic, LLC | Chiropractor | 4651 W Richland Plaza Dr Ste P, Bloomington, IN 47404-9777 | 2019-07-12 |
| 1831754399 | Sophia Collective LLC | Chiropractor | 619 N Morton St, Bloomington, IN 47404-4096 | 2019-05-09 |
| 1538659776 | Amanda Jo Mccoy | Chiropractor | 565 N Walnut St, Bloomington, IN 47404-3896 | 2018-05-14 |
| 1326560582 | Gayla Suzanna Mae Thombleson | Chiropractor | 2901 N Walnut St, Bloomington, IN 47404-2065 | 2017-07-10 |
| 1285154765 | Matthew Michael Myers | Chiropractor | 11133 France Ave S, Bloomington, MN 55431-3857 | 2017-06-26 |
| 1932550506 | Michael Colich | Chiropractor | 8701 Penn Ave S, Bloomington, MN 55431-2020 | 2016-06-24 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on DR. MICKEY A FUSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.