Green Lake Chiropractic, Pa in Willmar - Health Service
Green Lake Chiropractic, Pa - NPI 1760660427
Green Lake Chiropractic, Pa is a Health Service in Willmar, Minnesota. Green Lake Chiropractic, Pa practices all healthcare services and medical treatments related to Health Service. The NPI Number for Green Lake Chiropractic, Pa is 1760660427. The last update date is 2008-06-02.
Green Lake Chiropractic, Pa's current location address is 205 5th St Sw, Willmar, Minnesota. You can contact this provider via phone number 3202140044 and fax number 3202140045. The mailing address for Green Lake Chiropractic, Pa is 205 5th St Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Green Lake Chiropractic, Pa |
|---|---|
| Address | 205 5th St Sw, Willmar, Minnesota |
| Phone Number | 3202140044 |
| Fax Number | 3202140045 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Haefner D. Jon |
| Credentials | D.C. |
| Telephone Number | 3202140044 |
NPI Number Detail
| NPI Number | 1760660427 |
|---|---|
| Provider Enumeration Date | 2008-02-05 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 205 5th St Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562013211 |
| Phone Number | 3202140044 |
| Fax Number | 3202140045 |
Provider's Primary Taxonomy Detail
| Speciality | Health Service |
|---|---|
| Taxonomy | 261Qh0100X |
| Licence No | 4176 |
|
Definition: Provides general outpatient medical care by physicians and other providers. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 627686 | MN | ACN GROUP | |
| 868 | MN | HEALTH SERVICE MGMT. | |
| 062M1GR | MN | MN BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Green Lake Chiropractic, Pa by the Centers for Medicare & Medicaid Services?
The Green Lake Chiropractic, Pa has been assigned the NPI (National Provider Identifier) 1760660427 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Green Lake Chiropractic, Pa is physically located?
The Green Lake Chiropractic, Pa is physically situated at the following address: 205 5Th St Sw, Willmar, MN, 562013211.
What is Green Lake Chiropractic, Pa's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Green Lake Chiropractic, Pa is Health Service, and the taxonomy code that categorizes this field of expertise is 261Qh0100X.
On what date did the Centers for Medicare & Medicaid Services assign the 1760660427 to Green Lake Chiropractic, Pa?
The Centers for Medicare & Medicaid Services assigned the 1760660427 to Green Lake Chiropractic, Pa on 2008-02-05.
When was the information pertaining to Green Lake Chiropractic, Pa most recently updated or revised?
The details related to Green Lake Chiropractic, Pa, including its address, specialty, and other relevant information, were last updated or revised on 2008-06-02.
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