National Provider Identifier Database

NORTHLAND CHIROPRACTIC CENTER PA
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

NORTHLAND CHIROPRACTIC CENTER PA
516 MAIN STREET EAST
DETROIT LAKES, MN56501
Phone: 218-844-5050
Fax: 218-844-5049
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X
Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for NORTHLAND CHIROPRACTIC CENTER PA

NPI Number 1821116682
Legal business name
LBN
NORTHLAND CHIROPRACTIC CENTER PA
Authorized official JENNIFER PEDERSEN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 03/27/2007
Last updated 01/20/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: 020960100
  • Other: 242T6N0 BCBS OF MN
  • Other: 647163 CHIROCARE OF MN

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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