EAGLE VALLEY CHIROPRACTIC LLC NPI 1699054213

NPI Information

  • NPI: 1699054213
  • Provider Name: EAGLE VALLEY CHIROPRACTIC LLC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • CLIA Number: 24D2071220
  • Address: 176 PEMBROKE AVE S
    WABASHA, MN
    ZIP 55981
  • Phone: (651) 565-4863

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NPI Details

EAGLE VALLEY CHIROPRACTIC LLC is a point of service in Wabasha, MN. The provider is this product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. EAGLE VALLEY CHIROPRACTIC LLC NPI is 1699054213. The provider is registered as an organization entity type.

The provider's business location address is:

176 PEMBROKE AVE S
WABASHA, MN
ZIP 55981-243
Phone: (651) 565-4863
Fax: (651) 565-4893

The provider's authorized official is Jessin Skoug .
The authorized official title is Owner and has the following contact phone number (651) 565-4863.

The CLIA number assigned to this NPI record is 24D2071220 - other - chiropractic clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2011 and was last updated on 8/12/2011.

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
1305R00000XPreferred Provider Organization4754-012WISCONSINNo
2305S00000XPoint of Service5533MINNESOTAYes

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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