Madison Chiropractic Center Pc

LBN: Madison Chiropractic Center Pc
Madison Chiropractic Center Pc is an health care organization with primary practice located at 508 W 4Th St , Madison MN 56256-1426. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Health Service, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Madison Chiropractic Center Pc can be contacted via phone (320) 598-3089, or through Bonn, Clinton A via phone (320) 598-3089.

Contact Information

Primary practice address
508 W 4Th St Madison MN 56256-1426
Fax: (320) 598-3211
Website:
Authorized official contact:
Name: Bonn, Clinton A Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 3882 Minnesota
Ambulatory Health Care Facilities / Pain 261QP3300X 3882 Minnesota

Profile Details

NPI number 1801120258
LBN Legal business name Madison Chiropractic Center Pc
DBA Doing business as
Authorized official Bonn, Clinton A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 1st, 2009
Last updated Jan 13th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1801120258 NPPES
Minnesota Other 3BW40MA BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 721157100 BLUE CROSS BLUE SHIELD

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