Pequot Lakes Chiropractic And Sports Injury Center P.A in Pequot Lakes - Chiropractor
Pequot Lakes Chiropractic And Sports Injury Center P.A - NPI 1376602656
Pequot Lakes Chiropractic And Sports Injury Center P.A is a Chiropractor in Pequot Lakes, Minnesota. Pequot Lakes Chiropractic And Sports Injury Center P.A practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Pequot Lakes Chiropractic And Sports Injury Center P.A is 1376602656. The last update date is 2012-10-11.
Pequot Lakes Chiropractic And Sports Injury Center P.A's current location address is Po Box 8, Pequot Lakes, Minnesota. You can contact this provider via phone number 2185687767 and fax number 2185684580. The mailing address for Pequot Lakes Chiropractic And Sports Injury Center P.A is Po Box 8, Pequot Lakes, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pequot Lakes Chiropractic And Sports Injury Center P.A |
|---|---|
| Address | Po Box 8, Pequot Lakes, Minnesota |
| Phone Number | 2185687767 |
| Fax Number | 2185684580 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER-DC |
|---|---|
| Authorized Official Name | Buell D Ryan |
| Credentials | D.C. |
| Telephone Number | 2185687767 |
NPI Number Detail
| NPI Number | 1376602656 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2012-10-11 |
Provider Mailing Address Detail
| Address | Po Box 8 |
|---|---|
| City | Pequot Lakes |
| State | Minnesota (MN) |
| Post Code | 56472 |
| Phone Number | 2185687767 |
| Fax Number | 2185684580 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 3271 |
|
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 |
|---|---|---|---|
| 43813800 | MN | -- |
Post Comment/ Review Below
What is the Pequot Lakes Chiropractic And Sports Injury Center P.A's 1376602656?
The Pequot Lakes Chiropractic And Sports Injury Center P.A's NPI (National Provider Identifier) Number is 1376602656. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pequot Lakes Chiropractic And Sports Injury Center P.A located?
The Pequot Lakes Chiropractic And Sports Injury Center P.A is located at Po Box 8, Pequot Lakes, MN 56472.
What is the Pequot Lakes Chiropractic And Sports Injury Center P.A's area of specialization and corresponding taxonomy classification?
The Pequot Lakes Chiropractic And Sports Injury Center P.A's specialty field is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1376602656 to Pequot Lakes Chiropractic And Sports Injury Center P.A?
The Pequot Lakes Chiropractic And Sports Injury Center P.A received its 1376602656 assignment from the Centers for Medicare & Medicaid Services on 2006-12-06.
As of what date were the Pequot Lakes Chiropractic And Sports Injury Center P.A's details last updated?
The information pertaining to the Pequot Lakes Chiropractic And Sports Injury Center P.A, including its address, specialty, and other details, was most recently updated on 2012-10-11.
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