Danielle Kallin Brink in Chisago City - Chiropractor
Danielle Kallin Brink - NPI 1568592764
Danielle Kallin Brink is a Chiropractor in Chisago City, Minnesota. Danielle Kallin Brink practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Danielle Kallin Brink is 1568592764. The last update date is 2017-07-31.
Danielle Kallin Brink's current location address is 11185 Lake Blvd, Chisago City, Minnesota. You can contact this provider via phone number 6512573914. The mailing address for Danielle Kallin Brink is 11185 Lake Blvd, Chisago City, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Danielle Kallin Brink |
|---|---|
| Address | 11185 Lake Blvd, Chisago City, Minnesota |
| Phone Number | 6512573914 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1568592764 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2017-07-31 |
Provider Mailing Address Detail
| Address | 11185 Lake Blvd |
|---|---|
| City | Chisago City |
| State | Minnesota (MN) |
| Post Code | 550139826 |
| Phone Number | 6512573914 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3384 |
|
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 inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 125320400 | MN | -- | |
| 147R0BR | MN | BLUE CROSS BLUE SHIELD |
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What is the Danielle Kallin Brink's unique identification number?
The Danielle Kallin Brink has been assigned the NPI (National Provider Identifier) Number 1568592764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Danielle Kallin Brink is geographically located?
The Danielle Kallin Brink is physically situated at the following location: 11185 Lake Blvd, Chisago City, MN, 550139826.
What is Danielle Kallin Brink's area of expertise and its corresponding taxonomy classification?
The Danielle Kallin Brink's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1568592764 to Danielle Kallin Brink?
The Danielle Kallin Brink received its 1568592764 assignment from the Centers for Medicare & Medicaid Services on 2007-03-06.
As of what date were the Danielle Kallin Brink's details last updated?
The information pertaining to the Danielle Kallin Brink, including its address, specialty, and other details, was most recently updated on 2017-07-31.
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