Lighthouse Chiropractic Health Center, Inc
LBN: Lighthouse Chiropractic Health Center, Inc
Lighthouse Chiropractic Health Center, Inc is an health care organization with primary practice located at 710 Dodge Ave Nw Suite C, Elk River MN 55330-2019. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Lighthouse Chiropractic Health Center, Inc can be contacted via phone (763) 441-1701, or through Eng, Martin O via phone (763) 441-1701.
Contact Information
Primary practice address
710 Dodge Ave Nw Suite C
Elk River MN 55330-2019
Phone: (763) 441-1701
Fax: (763) 441-5348
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3331 | Minnesota |
Profile Details
| NPI number | 1487721684 |
|---|---|
| LBN Legal business name | Lighthouse Chiropractic Health Center, Inc |
| DBA Doing business as | |
| Authorized official | Eng, Martin O Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 24th, 2012 - about 13 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 | 1487721684 | NPPES |
| Minnesota | Other | 5C580ST | BLUE CROSS BLUE SHIELD |
| Minnesota | MEDICAID | 6855253-00 | BLUE CROSS BLUE SHIELD |
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