CROW WING CHIROPRACTIC PC NPI 1154741288

NPI Information

  • NPI: 1154741288
  • Provider Name: CROW WING CHIROPRACTIC PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • CLIA Number: 24D0651655
  • Address: 15229 EDGEWOOD DR STE 125
    BAXTER, MN
    ZIP 56401
  • Phone: (218) 205-1908

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NPI Details

CROW WING CHIROPRACTIC PC is a chiropractor in Baxter, 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. CROW WING CHIROPRACTIC PC NPI is 1154741288. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15229 EDGEWOOD DR STE 125
BAXTER, MN
ZIP 56401-920
Phone: (218) 205-1908

The provider's authorized official is Jedediah Moore .
The authorized official title is Chiropractor and has the following contact phone number (218) 205-1908.

The CLIA number assigned to this NPI record is 24D0651655 - public health laboratories with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/16/2014 and was last updated on 6/4/2014.

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
1111N00000XChiropractor5700MINNESOTAYes

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: 11/21/2025

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