Bass Lake Chiropractic Clinic, P.A.

LBN: Bass Lake Chiropractic Clinic, P.A.
Bass Lake Chiropractic Clinic, P.A. is an health care organization with primary practice located at 5640 W Broadway Ave , Crystal MN 55428-3556. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Bass Lake Chiropractic Clinic, P.A. can be contacted via phone (763) 537-8070, or through Vinje, Heather Marie via phone (763) 537-8070.

Contact Information

Primary practice address
5640 W Broadway Ave Crystal MN 55428-3556
Phone: (763) 537-8070
Fax: (763) 537-9513
Website:
Map and Directions
Authorized official contact:
Name: Vinje, Heather Marie Doctor of Chiropractic (DC)
Phone: (763) 537-8070

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X DC4020 Minnesota

Profile Details

NPI number 1487747226
LBN Legal business name Bass Lake Chiropractic Clinic, P.A.
DBA Doing business as
Authorized official Vinje, Heather Marie Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487747226 NPPES
Minnesota Other 4C416HU BCBS GROUP ID #

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