Healthsource Of White Bear Lake, Pllc

LBN: Healthsource Of White Bear Lake, Pllc
Healthsource Of White Bear Lake, Pllc is an health care organization with primary practice located at 4801 Highway 61 N 105, White Bear Lake MN 55110-2737. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Healthsource Of White Bear Lake, Pllc can be contacted via phone (651) 762-5433, or through Dixon, Michael Leo via phone (651) 762-5433.

Contact Information

Primary practice address
4801 Highway 61 N 105 White Bear Lake MN 55110-2737
Fax: (651) 762-7504
Website:
Authorized official contact:
Name: Dixon, Michael Leo Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5114 Minnesota

Profile Details

NPI number 1073767372
LBN Legal business name Healthsource Of White Bear Lake, Pllc
DBA Doing business as
Authorized official Dixon, Michael Leo Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2008
Last updated Feb 12th, 2010 - 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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