Park Chiropractic Clinic, Inc.

LBN: Park Chiropractic Clinic, Inc.
Park Chiropractic Clinic, Inc. is an health care organization with primary practice located at 4 13Th Ave N , Waite Park MN 56387-1036. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Park Chiropractic Clinic, Inc. can be contacted via phone (320) 252-8383, or through Anderson, David Charles via phone (320) 252-8383.

Contact Information

Primary practice address
4 13Th Ave N Waite Park MN 56387-1036
Phone: (320) 252-8383
Fax: (320) 252-9028
Website:
Map and Directions
Authorized official contact:
Name: Anderson, David Charles Doctor of Chiropractic (DC)
Phone: (320) 252-8383

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 364 Minnesota

Profile Details

NPI number 1669486015
LBN Legal business name Park Chiropractic Clinic, Inc.
DBA Doing business as
Authorized official Anderson, David Charles Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 2nd, 2013 - about 12 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 1669486015 NPPES
Minnesota MEDICAID 155216300
Minnesota Other 6C337PA

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