JAY J FITZGERALD DC NPI 1689798092

NPI Information

  • NPI: 1689798092
  • Provider Name: JAY J FITZGERALD DC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: WAGNER CHIROPRACTIC CLINIC
  • Address: 109 1ST ST. SW
    WAGNER, SD
    ZIP 57380
  • Phone: (605) 384-5419

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NPI Details

JAY J FITZGERALD DC is a chiropractor in Wagner, SD. The provider is 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. JAY J FITZGERALD DC NPI is 1689798092. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wagner Chiropractic Clinic.

The provider's business location address is:

109 1ST ST. SW
WAGNER, SD
ZIP 57380-758
Phone: (605) 384-5419
Fax: (605) 384-5410

The provider's authorized official is Jay Joseph Fitzgerald .
The authorized official title is Owner and has the following contact phone number (605) 384-5419.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/16/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor840SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1S41227MEDICARE PINSOUTH DAKOTA
27604080MEDICAIDSOUTH DAKOTA
359402MEDICARE UPINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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