Vistad Chiropractic Clinic Pa

LBN: Vistad Chiropractic Clinic Pa
Vistad Chiropractic Clinic Pa is an health care organization with primary practice located at 301 North Union , Fergus Falls MN 56537. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Vistad Chiropractic Clinic Pa can be contacted via phone (218) 736-5676, or through Vistad, Bruce William via phone (218) 736-5676.

Contact Information

Primary practice address
301 North Union Fergus Falls MN 56537
Fax: (218) 736-5677
Website:
Authorized official contact:
Name: Vistad, Bruce William Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1417045378
LBN Legal business name Vistad Chiropractic Clinic Pa
DBA Doing business as
Authorized official Vistad, Bruce William Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1417045378 NPPES
Minnesota Other 60667VI BLUE CROSS

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