Birch Lake Chiropractic Clinic, Llc

LBN: Birch Lake Chiropractic Clinic, Llc
Birch Lake Chiropractic Clinic, Llc is an health care organization with primary practice located at 4635 White Bear Pkwy , White Bear Lake MN 55110-3300. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Birch Lake Chiropractic Clinic, Llc can be contacted via phone (651) 429-5329, or through Erickson, Grant via phone (651) 429-5329.

Contact Information

Primary practice address
4635 White Bear Pkwy White Bear Lake MN 55110-3300
Fax: (651) 429-2759
Website:
Authorized official contact:
Name: Erickson, Grant Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 751 Minnesota

Profile Details

NPI number 1255407136
LBN Legal business name Birch Lake Chiropractic Clinic, Llc
DBA Doing business as
Authorized official Erickson, Grant Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 24th, 2006
Last updated Mar 17th, 2010 - about 14 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 1255407136 NPPES
Other 273GOBI BCBS - CLINIC #
Other 231600 BCBS - CLINIC #
Other 6763511-00 BCBS - CLINIC #

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