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EAGLE VALLEY CHIROPRACTIC LLC

Point of Service

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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Contact Information

EAGLE VALLEY CHIROPRACTIC LLC
176 PEMBROKE AVE S
WABASHA, MN  55981-1243
 Phone: 651-565-4863
 Fax: 651-565-4893
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Point of Service

 305S00000X
 

Preferred Provider Organization

 305R00000X
Indicates primary specialty

NPI Profile & details for EAGLE VALLEY CHIROPRACTIC LLC

NPI # 1699054213
LBN Legal business name EAGLE VALLEY CHIROPRACTIC LLC
Authorized official JESSIN SKOUG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/12/2011
Last updated 08/12/2011 - About 15 years ago
Identifiers
MN License # 5533
WI License # 4754-012
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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