DONNER FAMILY CHIROPRACTIC PA NPI 1508045055

NPI Information

NPI: 1508045055
Provider Name: DONNER FAMILY CHIROPRACTIC PA

Former Legal Business Name: PAULY CHIROPRACTIC CENTER PA

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
412 19TH AVE SW
WILLMAR, MN
ZIP 56201
Phone: (320) 235-8380
Get Directions

DONNER FAMILY CHIROPRACTIC PA is a chiropractor in Willmar, 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. DONNER FAMILY CHIROPRACTIC PA NPI is 1508045055. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Pauly Chiropractic Center Pa.

The provider's business location address is:

412 19TH AVE SW
WILLMAR, MN
ZIP 56201-297
Phone: (320) 235-8380
Fax: (320) 235-8381

The provider's authorized official is Benjamin R Donner .
The authorized official title is Ceo and has the following contact phone number (320) 235-8380.

The enumeration date for this NPI number is 11/1/2007 and was last updated on 9/12/2012.

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		1687	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	C03815	OTHER	MINNESOTA	MEDICARE
2	43232PA	OTHER	MINNESOTA	BCBS
3	T65972	MEDICARE UPIN	MINNESOTA
4	350046462	OTHER	MINNESOTA	RR MEDICARE
5	755007	OTHER	MINNESOTA	OPTUM HEALTH
6	332727200	MEDICAID	MINNESOTA

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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