Lighthouse Chiropractic Cllinic, Pllc
LBN: Lighthouse Chiropractic Cllinic, Pllc
Lighthouse Chiropractic Cllinic, Pllc is an health care organization with primary practice located at 2412 N.E. 27Th Avenue , Grand Rapids MN 55744-5793. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Lighthouse Chiropractic Cllinic, Pllc can be contacted via phone (218) 326-1104, or through Troumbly, Shalymar C via phone (218) 326-1104.
Contact Information
Primary practice address
2412 N.E. 27Th Avenue
Grand Rapids MN 55744-5793
Phone: (218) 326-1104
Fax:
Website:
Authorized official contact:
Name: Troumbly, Shalymar C Doctor of Chiropractic (DC)
Phone: (218) 326-1104
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3659 | Minnesota |
Profile Details
| NPI number | 1952744831 |
|---|---|
| LBN Legal business name | Lighthouse Chiropractic Cllinic, Pllc |
| DBA Doing business as | |
| Authorized official | Troumbly, Shalymar C Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 10th, 2013 |
| Last updated | Apr 10th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952744831 | NPPES |
| Minnesota | Other | 281M0LI | BCBSM CONTRACTING PROVIDER |
| Minnesota | Other | 456719600 | BCBSM CONTRACTING PROVIDER |
| Minnesota | Other | CC10368 | BCBSM CONTRACTING PROVIDER |
| Minnesota | Other | 291M7NE | BCBSM CONTRACTING PROVIDER |
| Minnesota | Other | 350003063 | BCBSM CONTRACTING PROVIDER |
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