Cottage Grove Chiropractic Clinic, Pa

LBN: Cottage Grove Chiropractic Clinic, Pa
Cottage Grove Chiropractic Clinic, Pa is an health care organization with primary practice located at 7702 80Th St S , Cottage Grove MN 55016-3194. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Cottage Grove Chiropractic Clinic, Pa can be contacted via phone (651) 459-0066, or through Delcastillo, Susan D via phone (651) 459-0066.

Contact Information

Primary practice address
7702 80Th St S Cottage Grove MN 55016-3194
Fax: (651) 459-8005
Website:
Authorized official contact:
Name: Delcastillo, Susan D Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1398 Minnesota

Profile Details

NPI number 1366778243
LBN Legal business name Cottage Grove Chiropractic Clinic, Pa
DBA Doing business as
Authorized official Delcastillo, Susan D Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2009
Last updated Oct 27th, 2009 - about 15 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 1366778243 NPPES
Minnesota Other 56037CO BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 995227600 BLUE CROSS BLUE SHIELD
Minnesota Other 4576 BLUE CROSS BLUE SHIELD
Minnesota Other 230556 BLUE CROSS BLUE SHIELD

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