AFTON CHIROPRACTIC CLINIC PA NPI 1306040381

NPI Information

NPI: 1306040381
Provider Name: AFTON CHIROPRACTIC CLINIC PA
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
44 SAINT CROIX TRL S
SUITE 200
LAKELAND, MN
ZIP 55043
Phone: (651) 436-7757
Get Directions

AFTON CHIROPRACTIC CLINIC PA is a chiropractor in Lakeland, 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. AFTON CHIROPRACTIC CLINIC PA NPI is 1306040381. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

44 SAINT CROIX TRL S
SUITE 200
LAKELAND, MN
ZIP 55043-404
Phone: (651) 436-7757

The provider's authorized official is Tamie Q Caulder .
The authorized official title is President and has the following contact phone number (651) 436-7757.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 9/5/2013.

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	171100000X	Acupuncturist				No
2	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	38962900	OTHER	WISCONSIN	BADGERCARE
2	618323900	MEDICAID	MINNESOTA
3	97G19CA	OTHER	MINNESOTA	BCBS
4	98D84QU	OTHER	MINNESOTA	BCBS
5	200967600	MEDICAID	MINNESOTA
6	C02926	MEDICARE PIN	MINNESOTA
7	38963000	OTHER	WISCONSIN	BADGERCARE

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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