| Dehaven Chiropractic Clinic, Inc | |
|
4505 White Bear Pkwy Ste 2200, White Bear Lake, MN 55110-3699 | |
| (651) 429-3015 | |
| Not Available |
| Full Name | Dehaven Chiropractic Clinic, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4505 White Bear Pkwy Ste 2200, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851525893 | NPI | - | NPPES |
| 59969-DE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2585 (Minnesota) | Primary |
| Provider Name | Stephan M Dehaven |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1609095454 PECOS PAC ID: 1052384039 Enrollment ID: I20040817001358 |
| Mailing Address | Practice Location Address |
|---|---|
| Dehaven Chiropractic Clinic, Inc 20681 July Ave N, Forest Lake, MN 55025-9173 Ph: (651) 429-3015 | Dehaven Chiropractic Clinic, Inc 4505 White Bear Pkwy Ste 2200, White Bear Lake, MN 55110-3699 Ph: (651) 429-3015 |
Healthsource Of White Bear Lake, Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 4801 Highway 61 N, 105, White Bear Lake, MN 55110 Phone: 651-762-5433 Fax: 651-762-7504 | |
Helix Chiropractic Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 4719 Banning Ave, White Bear Lake, MN 55110 Phone: 651-429-2279 Fax: 651-429-2361 | |
Barr Family Chiropractic & Sports Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4719 Banning Ave, White Bear Lake, MN 55110 Phone: 651-429-2279 | |
For Your Well Being Chiropractic, S.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2479 County Road E E, White Bear Lake, MN 55110 Phone: 651-770-5433 | |
Quast Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3607 White Bear Ave N, White Bear Lake, MN 55110 Phone: 651-777-2225 | |
Lux Family Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1310 Highway 96 E Ste 118, White Bear Lake, MN 55110 Phone: 651-483-0140 | |
Linnea Kay Soular, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 4886 Highway 61 N, Suite 201, White Bear Lake, MN 55110 Phone: 651-762-4757 Fax: 651-762-2731 |