NORTHWOODS CHIROPRACTIC P. A. NPI 1477610194

NPI Information

NPI: 1477610194
Provider Name: NORTHWOODS CHIROPRACTIC P. A.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
13743 E SHORE RD
CROSSLAKE, MN
ZIP 56442
Phone: (218) 692-1616
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NORTHWOODS CHIROPRACTIC P. A. is a chiropractor in Crosslake, 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. NORTHWOODS CHIROPRACTIC P. A. NPI is 1477610194. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13743 E SHORE RD
CROSSLAKE, MN
ZIP 56442-033
Phone: (218) 692-1616
Fax: (218) 692-1626

The provider's authorized official is Anicia Gwen Peterson .
The authorized official title is President and has the following contact phone number (218) 692-1616.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 8/22/2020.

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		3138	MINNESOTA	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	68D25PE	OTHER	MINNESOTA	BCBS INDIVIDUAL ID #
2	68D24NO	OTHER	MINNESOTA	BCBS OFFICE ID #

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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