National Provider Identifier Database

MARK A PEDERSON, DC – NPI #1215045604
Chiropractor

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.


Contact Information

MARK A PEDERSON, DC
603 N MAIN STREET
WARREN, MN56762
Phone: 218-745-6655
Fax: 218-745-4049
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for MARK A PEDERSON

NPI Number 1215045604
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 08/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 3351
  • MN Other: 15F41PE BCBS
  • ND Other: 20215 BCBS
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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