Olson Chiropractic Clinic, Inc

LBN: Olson Chiropractic Clinic, Inc
Olson Chiropractic Clinic, Inc is an health care organization with primary practice located at 130 Lake Boulevard South , Buffalo MN 55313-1448. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Olson Chiropractic Clinic, Inc can be contacted via phone (763) 682-1849, or through Olson, Mark Dale via phone (763) 682-1849.

Contact Information

Primary practice address
130 Lake Boulevard South Buffalo MN 55313-1448
Phone: (763) 682-1849
Fax: (763) 684-1864
Website:
Map and Directions
Authorized official contact:
Name: Olson, Mark Dale Doctor of Chiropractic (DC)
Phone: (763) 682-1849

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2573 Minnesota

Profile Details

NPI number 1316075799
LBN Legal business name Olson Chiropractic Clinic, Inc
DBA Doing business as
Authorized official Olson, Mark Dale Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 28th, 2007
Last updated Apr 12th, 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 1316075799 NPPES
Minnesota MEDICAID 464528600
Minnesota Other 4C321OL

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