Southwest Chiropractic Clinic Of Worthington, Pa

LBN: Southwest Chiropractic Clinic Of Worthington, Pa
Southwest Chiropractic Clinic Of Worthington, Pa is an health care organization with primary practice located at 1301 Diagonal Rd , Worthington MN 56187-1114. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Southwest Chiropractic Clinic Of Worthington, Pa can be contacted via phone (507) 376-9663, or through Roethler, Jacob John via phone (507) 376-9663.

Contact Information

Primary practice address
1301 Diagonal Rd Worthington MN 56187-1114
Fax: (507) 376-9663
Website:
Authorized official contact:
Name: Roethler, Jacob John Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4388 Minnesota

Profile Details

NPI number 1700934429
LBN Legal business name Southwest Chiropractic Clinic Of Worthington, Pa
DBA Doing business as
Authorized official Roethler, Jacob John Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1700934429 NPPES
Minnesota Other 072H0SO BLUE CROSS BLUE SHIELD

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