Back On Track Chiropractic Center Pa | |
1246 32nd Ave N, Saint Cloud, MN 56303-1649 | |
(320) 230-8920 | |
(320) 230-8922 |
Full Name | Back On Track Chiropractic Center Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 1246 32nd Ave N, Saint Cloud, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1124246459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4468 (Minnesota) | Primary |
Provider Name | Melissa M Loidolt |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1750578563 PECOS PAC ID: 6608761036 Enrollment ID: I20040216000976 |
Provider Name | Emily Katherine Spier |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1497342984 PECOS PAC ID: 0345653036 Enrollment ID: I20210208002365 |
Mailing Address | Practice Location Address |
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Back On Track Chiropractic Center Pa 1246 32nd Ave N, Saint Cloud, MN 56303-1649 Ph: (320) 230-8920 | Back On Track Chiropractic Center Pa 1246 32nd Ave N, Saint Cloud, MN 56303-1649 Ph: (320) 230-8920 |
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