Northland Chiropractic Center Pa
LBN: Northland Chiropractic Center Pa
Northland Chiropractic Center Pa is an health care organization with primary practice located at 516 Main Street East , Detroit Lakes MN 56501. The organization recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Other Service Providers / Acupuncturist. Chiropractic Providers / Chiropractor is the primary health care specialty.
Northland Chiropractic Center Pa can be contacted via phone (218) 844-5050, or through Pedersen, Jennifer Elyse via phone (218) 844-5050.
Contact Information
Primary practice address
516 Main Street East
Detroit Lakes MN 56501
Phone: (218) 844-5050
Fax: (218) 844-5049
Website:
Authorized official contact:
Name: Pedersen, Jennifer Elyse Doctor of Chiropractic (DC)
Phone: (218) 844-5050
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | ||
| Other Service Providers / Acupuncturist | 171100000X |
Profile Details
| NPI number | 1821116682 |
|---|---|
| LBN Legal business name | Northland Chiropractic Center Pa |
| DBA Doing business as | |
| Authorized official | Pedersen, Jennifer Elyse Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jan 20th, 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 | 1821116682 | NPPES |
| Other | 242T6N0 | BCBS OF MN | |
| Other | 647163 | BCBS OF MN | |
| MEDICAID | 020960100 | BCBS OF MN |
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