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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 CHIROPRACTIC,LLC

NPI Number 1194809863
LBN Legal business name CANNON VALLEY CHIROPRACTIC,LLC
Authorized official MATTHEW MAKI - (OWNER/DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
MN License # 4074
MN Other 01N79CA BLUE CROSS/BLUE SHIELD
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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