Itasca Chiropractic Center, P.C.
LBN: Itasca Chiropractic Center, P.C.
Itasca Chiropractic Center, P.C. is an health care organization with primary practice located at 801 Ne 4Th St , Grand Rapids MN 55744-3106. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty.
Itasca Chiropractic Center, P.C. can be contacted via phone (218) 326-1732, or through Anderson, Donald Andrew via phone (218) 326-1732.
Contact Information
Primary practice address
801 Ne 4Th St
Grand Rapids MN 55744-3106
Phone: (218) 326-1732
Fax: (218) 327-3415
Website:
Authorized official contact:
Name: Anderson, Donald Andrew Doctor of Chiropractic (DC)
Phone: (218) 326-1732
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Preferred Provider Organization | 305R00000X | 3641 | Minnesota |
Profile Details
NPI number | 1861708992 |
---|---|
LBN Legal business name | Itasca Chiropractic Center, P.C. |
DBA Doing business as | |
Authorized official | Anderson, Donald Andrew Doctor of Chiropractic (DC) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 26th, 2010 |
Last updated | Aug 26th, 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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