Dr Joseph Brian Deal, DC | |
201 North Main St., Lake Crystal, MN 56055-1300 | |
(507) 726-2091 | |
Not Available |
Full Name | Dr Joseph Brian Deal |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 201 North Main St., Lake Crystal, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619085784 | NPI | - | NPPES |
500228100 | Medicaid | MN | |
3C200DE | Other | MN | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2426 (Minnesota) | Primary |
Provider Name | Lake Life Chiropractic Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952826778 PECOS PAC ID: 8224302211 Enrollment ID: O20170914000400 |
Mailing Address | Practice Location Address |
---|---|
Dr Joseph Brian Deal, DC Po Box 1300, Lake Crystal, MN 56055-1300 Ph: (507) 726-2091 | Dr Joseph Brian Deal, DC 201 North Main St., Lake Crystal, MN 56055-1300 Ph: (507) 726-2091 |
Deal Family Chiropractic & Wellness Center, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 201 North Main St., Lake Crystal, MN 56055 Phone: 507-726-2091 | |
Jackson Chiropractic Of Lake Crystal Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 242 Hiway 60, Unit 4, Lake Crystal, MN 56055 Phone: 507-726-2530 Fax: 507-726-6482 | |
Mr. William Daniel Grimes, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 201 N Main St, Lake Crystal, MN 56055 Phone: 507-726-2091 | |
Lake Crystal Chiropractic Pllc Chiropractor Medicare: Medicare Enrolled Practice Location: 201 N Main St, Lake Crystal, MN 56055 Phone: 612-360-3483 |