Fortin Health & Wellness Clinic, Pa | |
149 Hamel Road, Hamel, MN 55340 | |
(763) 478-3978 | |
(763) 478-3502 |
Full Name | Fortin Health & Wellness Clinic, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 149 Hamel Road, Hamel, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396850558 | NPI | - | NPPES |
08154FO | Other | MN | GROUP/CLINIC |
081G5FO | Other | MN | BCBS INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 4147 (Minnesota) | Primary |
Provider Name | Brenda K Fortin |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1588777254 PECOS PAC ID: 7416936687 Enrollment ID: I20040720000620 |
Mailing Address | Practice Location Address |
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Fortin Health & Wellness Clinic, Pa Po Box 271, Hamel, MN 55340-0271 Ph: (763) 478-3978 | Fortin Health & Wellness Clinic, Pa 149 Hamel Road, Hamel, MN 55340 Ph: (763) 478-3978 |
Dr. Marcus Ryan Moore, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Meander Ct, Hamel, MN 55340 Phone: 612-470-0635 | |
Dr. Brenda Karen Fortin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75 Hamel Rd, Hamel, MN 55340 Phone: 763-478-3978 Fax: 763-478-3502 | |
Sota Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Meander Ct, Hamel, MN 55340 Phone: 612-470-0635 |