| Healthsource Of Marshall | |
|
317 W Main St, Marshall, MN 56258-3790 | |
| (507) 337-2423 | |
| (507) 337-2421 |
| Full Name | Healthsource Of Marshall |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 317 W Main St, Marshall, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346624947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6101 (Minnesota) | Primary |
| Provider Name | Robert P Hennen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1417337874 PECOS PAC ID: 5991019721 Enrollment ID: I20150806011252 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthsource Of Marshall 1411 E College Dr Ste 105, Marshall, MN 56258-2086 Ph: () - | Healthsource Of Marshall 317 W Main St, Marshall, MN 56258-3790 Ph: (507) 337-2423 |
Dr. Abby Ree Ricketts, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 | |
Dr. Kris Blaine Lastine, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1411 E College Dr, Ste 4, Marshall, MN 56258 Phone: 507-537-1475 Fax: 507-537-9498 | |
Lee Fixen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 | |
Bruns Chiropractic, Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 203 Jewett St, Marshall, MN 56258 Phone: 507-532-2203 Fax: 507-532-2204 | |
Dr. Marah Rae Hoffman, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 111 Jewett St, Marshall, MN 56258 Phone: 507-532-4355 Fax: 507-532-2399 | |
Kelly Dvorak, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 111 Jewett St, Marshall, MN 56258 Phone: 507-532-4355 | |
Dr. Quentin James Fixen, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 104 W Redwood St, Marshall, MN 56258 Phone: 507-532-2655 Fax: 507-532-2951 |