Wellnessone Of Crosslake in Crosslake - Chiropractor
Wellnessone Of Crosslake - NPI 1396795092
Wellnessone Of Crosslake is a Chiropractor in Crosslake, Minnesota. Wellnessone Of Crosslake practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Wellnessone Of Crosslake is 1396795092. The last update date is 2007-12-07.
Wellnessone Of Crosslake's current location address is 35272 County Road 3, Crosslake, Minnesota. You can contact this provider via phone number 2186923700 and fax number 2186923700. The mailing address for Wellnessone Of Crosslake is 35272 County Road 3, Crosslake, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wellnessone Of Crosslake |
|---|---|
| Address | 35272 County Road 3, Crosslake, Minnesota |
| Phone Number | 2186923700 |
| Fax Number | 2186923700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Johnson N Derrek |
| Credentials | D.C. |
| Telephone Number | 2186923700 |
NPI Number Detail
| NPI Number | 1396795092 |
|---|---|
| Provider Enumeration Date | 2006-05-11 |
| Last Updated Date | 2007-12-07 |
Provider Mailing Address Detail
| Address | 35272 County Road 3 |
|---|---|
| City | Crosslake |
| State | Minnesota (MN) |
| Post Code | 564422804 |
| Phone Number | 2186923700 |
| Fax Number | 2186923700 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Wellnessone Of Crosslake by the Centers for Medicare & Medicaid Services?
The Wellnessone Of Crosslake has been assigned the NPI (National Provider Identifier) 1396795092. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Wellnessone Of Crosslake?
The Wellnessone Of Crosslake is physically situated at 35272 County Road 3, in the city of Crosslake, state of MN, with the postal code 564422804.
What is the area of specialization for Wellnessone Of Crosslake, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Wellnessone Of Crosslake is Chiropractor, and the corresponding taxonomy code that categorizes this area of expertise is 111N00000X.
On what date did the Wellnessone Of Crosslake receive its 1396795092 assignment from the Centers for Medicare & Medicaid Services?
The Wellnessone Of Crosslake was assigned its 1396795092 by the Centers for Medicare & Medicaid Services on 2006-05-11.
When was the information regarding Wellnessone Of Crosslake, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Wellnessone Of Crosslake, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-12-07.