National Provider Identifier Database

ITASCA CHIROPRACTIC CENTER PC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

ITASCA CHIROPRACTIC CENTER, P.C.
801 NE 4TH ST
GRAND RAPIDS, MN55744-3106
Phone: 218-326-1732
Fax: 218-327-3415
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for ITASCA CHIROPRACTIC CENTER, P.C.

NPI Number 1861708992
Legal business name
LBN
ITASCA CHIROPRACTIC CENTER, P.C.
Authorized official DONALD ANDERSON - (DOCTOR OF CHIROPRACTIC)
Entity Organization
Organization subpart No
Enumeration date 08/26/2010
Last updated 08/26/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 3641

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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