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Contact Information

CANNON VALLEY CHIROPRACTIC,LLC
6505 CEDAR HILLS DR
CANNON FALLS, MN55009-4253
 Phone: 507-263-3925
 Fax: 507-263-5065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for CANNON VALLEY CHIROPRACTICLLC · (Female)

NPI Number 1194809863
Status Active
Credentials
Entity Individual
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 4074
  • MN Other 01N79CA BLUE CROSS/BLUE SHIELD
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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