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PAYNESVILLE CHIROPRACTIC CLINIC P.A. NPI 1235150905


NPI Information

NPI: 1235150905
Provider Name: PAYNESVILLE CHIROPRACTIC CLINIC, P.A.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D2223066

Address:
319 E HIGHWAY 55
PAYNESVILLE, MN
ZIP 56362
Phone: (320) 243-7551
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PAYNESVILLE CHIROPRACTIC CLINIC, P.A. is a chiropractor in Paynesville, 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. PAYNESVILLE CHIROPRACTIC CLINIC, P.A. NPI is 1235150905. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

319 E HIGHWAY 55
PAYNESVILLE, MN
ZIP 56362-047
Phone: (320) 243-7551
Fax: (320) 243-7571

The provider's authorized official is Elizabeth Pauline Greguson-puppe .
The authorized official title is Owner and has the following contact phone number (320) 243-7551.

The CLIA number assigned to this NPI record is 24D2223066 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 9/9/2015.


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
1111N00000XChiropractor3023MINNESOTAYes

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
1548228300MEDICAIDMINNESOTA
23C021GROTHERMICRONESIABCBS CLINIC ID
3U40365MEDICARE UPINMINNESOTA
4350002062MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA

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

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