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Contact Information

NORTHLAND CHIROPRACTIC CENTER PA
516 MAIN STREET EAST
DETROIT LAKES, MN56501
 Phone: 218-844-5050
 Fax: 218-844-5049
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for NORTHLAND CHIROPRACTIC CENTER PA · (Female)

NPI # 1821116682
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2007
Last updated 01/20/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN Medicaid 020960100
  • Other 242T6N0 BCBS OF MN
  • Other 647163 CHIROCARE OF MN
Hospital affiliation(s) Not Available
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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