LAKE REGION FAMILY CHIROPRACTIC CLINIC NPI 1194804708

NPI Information

NPI: 1194804708
Provider Name: LAKE REGION FAMILY CHIROPRACTIC CLINIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
614 HAWTHORNE ST
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 762-2309
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LAKE REGION FAMILY CHIROPRACTIC CLINIC is a chiropractor in Alexandria, MN. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. LAKE REGION FAMILY CHIROPRACTIC CLINIC NPI is 1194804708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

614 HAWTHORNE ST
ALEXANDRIA, MN
ZIP 56308-661
Phone: (320) 762-2309
Fax: (320) 762-2300

The provider's authorized official is Bjorn Hurlen .
The authorized official title is Chiropractor and has the following contact phone number (320) 762-2309.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 1/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4C809LA	OTHER	MINNESOTA	BCBS CLINIC ID
2	0683884-00	MEDICAID	MINNESOTA
3	C02095	MEDICARE PIN	MINNESOTA
4	030701119	OTHER	MINNESOTA	PRIMEWEST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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