Braaten Chiropractic Llc in Waite Park - Chiropractor
Braaten Chiropractic Llc - NPI 1609053396
Braaten Chiropractic Llc is a Chiropractor in Waite Park, Minnesota. Braaten Chiropractic Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Braaten Chiropractic Llc is 1609053396. The last update date is 2015-01-13.
Braaten Chiropractic Llc's current location address is 750 1st. St. Ste 103, Waite Park, Minnesota. You can contact this provider via phone number 3202406561 and fax number 3202409331. The mailing address for Braaten Chiropractic Llc is 750 1st. St. Ste 103, Waite Park, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Braaten Chiropractic Llc |
|---|---|
| Address | 750 1st. St. Ste 103, Waite Park, Minnesota |
| Phone Number | 3202406561 |
| Fax Number | 3202409331 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Braaten Marie Jill |
| Credentials | DC |
| Telephone Number | 3202406561 |
NPI Number Detail
| NPI Number | 1609053396 |
|---|---|
| Provider Enumeration Date | 2008-01-25 |
| Last Updated Date | 2015-01-13 |
Provider Mailing Address Detail
| Address | 750 1st. St. Ste 103 |
|---|---|
| City | Waite Park |
| State | Minnesota (MN) |
| Post Code | 56387 |
| Phone Number | 3202406561 |
| Fax Number | 3202409331 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4986 |
|
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 |
|---|---|---|---|
| 36M20IM | MN | BLUE CROSS BLUE SHIELD GROUP P | |
| C04865 | MN | MEDICARE GROUP PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Braaten Chiropractic Llc by the Centers for Medicare & Medicaid Services?
The Braaten Chiropractic Llc has been assigned the NPI (National Provider Identifier) 1609053396. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Braaten Chiropractic Llc is located?
The Braaten Chiropractic Llc is situated at the following address: 750 1St. St. Ste 103, Waite Park, MN, 56387.
What is Braaten Chiropractic Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Braaten Chiropractic Llc's area of specialization is Chiropractor, and the corresponding taxonomy code that categorizes this field of practice is 111N00000X.
On what date did the Braaten Chiropractic Llc receive the assignment of its 1609053396 from the Centers for Medicare & Medicaid Services?
The Braaten Chiropractic Llc was issued its 1609053396 by the Centers for Medicare & Medicaid Services on 2008-01-25.
When was the Braaten Chiropractic Llc's information last updated?
The Braaten Chiropractic Llc's information was last updated on 2015-01-13.
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