Christina Mae Mickelson in Lindstrom - Chiropractor

Christina Mae Mickelson - NPI 1962529560

Christina Mae Mickelson is a Chiropractor in Lindstrom, Minnesota. Christina Mae Mickelson practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Christina Mae Mickelson is 1962529560. The last update date is 2007-07-08.

Christina Mae Mickelson's current location address is 30840 N Lakes Trl, Lindstrom, Minnesota. You can contact this provider via phone number 6512579090 and fax number 6512579090. The mailing address for Christina Mae Mickelson is 30840 N Lakes Trl, Lindstrom, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Christina Mae Mickelson
Address 30840 N Lakes Trl, Lindstrom, Minnesota
Phone Number 6512579090
Fax Number 6512579090
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1962529560
Provider Enumeration Date 2007-03-26
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 30840 N Lakes Trl
City Lindstrom
State Minnesota (MN)
Post Code 550459497
Phone Number 6512579090
Fax Number 6512579090

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 4032
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
44-87206 MN MEDICA
V41199334276956 MN HEALTH PARTNERS
69B47MI MN BCBS

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FAQs about Christina Mae Mickelson

What is the unique provider identifier assigned to Christina Mae Mickelson?

The Christina Mae Mickelson has been issued the NPI (National Provider Identifier) 1962529560 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Christina Mae Mickelson is physically located?

The Christina Mae Mickelson is situated at the following address: 30840 N Lakes Trl, Lindstrom, MN 550459497.

What is Christina Mae Mickelson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Christina Mae Mickelson's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1962529560 to Christina Mae Mickelson?

The Christina Mae Mickelson received its 1962529560 assignment from the Centers for Medicare & Medicaid Services on 2007-03-26.

When was the Christina Mae Mickelson's information last updated?

The Christina Mae Mickelson's information was last updated on 2007-07-08.

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