Pequot Lakes Chiropractic And Sports Injury Center P.A
LBN: Pequot Lakes Chiropractic And Sports Injury Center P.A
Pequot Lakes Chiropractic And Sports Injury Center P.A is an health care organization with primary practice located at 31095 Bergquist Drive , Pequot Lakes MN 56472-0008. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Pequot Lakes Chiropractic And Sports Injury Center P.A can be contacted via phone (218) 568-7767, or through Buell, Ryan D via phone (218) 568-7767.
Contact Information
Primary practice address
31095 Bergquist Drive
Pequot Lakes MN 56472-0008
Phone: (218) 568-7767
Fax: (218) 568-4580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3271 | Minnesota |
Profile Details
| NPI number | 1376602656 |
|---|---|
| LBN Legal business name | Pequot Lakes Chiropractic And Sports Injury Center P.A |
| DBA Doing business as | |
| Authorized official | Buell, Ryan D Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2006 |
| Last updated | Oct 11th, 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 | 1376602656 | NPPES |
| Minnesota | MEDICAID | 043813800 |
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