Granite City Chiropractic, Inc in New Richland - Health Service
Granite City Chiropractic, Inc - NPI 1790843324
Granite City Chiropractic, Inc is a Health Service in New Richland, Minnesota. Granite City Chiropractic, Inc practices all healthcare services and medical treatments related to Health Service. The NPI Number for Granite City Chiropractic, Inc is 1790843324. The last update date is 2014-11-18.
Granite City Chiropractic, Inc's current location address is Po Box 441, New Richland, Minnesota. You can contact this provider via phone number 5074633811 and fax number 5074633812. The mailing address for Granite City Chiropractic, Inc is Po Box 441, New Richland, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Granite City Chiropractic, Inc |
|---|---|
| Address | Po Box 441, New Richland, Minnesota |
| Phone Number | 5074633811 |
| Fax Number | 5074633812 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mielke W Raymond |
| Credentials | DC |
| Telephone Number | 5074633811 |
NPI Number Detail
| NPI Number | 1790843324 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2014-11-18 |
Provider Mailing Address Detail
| Address | Po Box 441 |
|---|---|
| City | New Richland |
| State | Minnesota (MN) |
| Post Code | 560720441 |
| Phone Number | 5074633811 |
| Fax Number | 5074633812 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 1496 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3KO36GR | MN | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Granite City Chiropractic, Inc's 1790843324?
The Granite City Chiropractic, Inc's NPI (National Provider Identifier) Number is 1790843324. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Granite City Chiropractic, Inc's facilities are situated?
The facilities of Granite City Chiropractic, Inc are physically located at the following address: Po Box 441, New Richland, MN, 560720441.
What is the Granite City Chiropractic, Inc's specialty and taxonomy code?
The Granite City Chiropractic, Inc's specialty is Health Service, and the corresponding taxonomy code is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790843324 to Granite City Chiropractic, Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790843324 to Granite City Chiropractic, Inc on 2006-12-05.
When was the information regarding Granite City Chiropractic, Inc most recently updated?
The details pertaining to the Granite City Chiropractic, Inc, including its address, specialty, and other relevant information, were last refreshed on 2014-11-18.