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Contact Information

SAWTOOTH CHIROPRACTIC PC
501 W 5TH ST
GRAND MARAIS, MN55604
 Phone: 218-387-2383
 Fax: 218-387-2383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for SAWTOOTH CHIROPRACTIC PC

NPI # 1700026762
LBN Legal business name SAWTOOTH CHIROPRACTIC PC
Authorized official MALIN ASEBY-GESCH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2009
Last updated 04/02/2012 - About 14 years ago
Identifiers
MN License # 723
MN Medicaid 3570193-00
MN Other 29G38SA BC/BS OF MN BUSINESS
MN Other 29G39GE BC/BS OF MN INDIVIDUAL
MN Other 350051297 MEDICARE RAILROAD
MN Other 1538269675 NPI INDIVIDUAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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