| Inner Light Chiropractic, P.a. | |
|
4630 97th Ave N, Brooklyn Park, MN 55443 | |
| (763) 486-3945 | |
| Not Available |
| Full Name | Inner Light Chiropractic, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 4630 97th Ave N, Brooklyn Park, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396715686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4717 (Minnesota) | Primary |
| Provider Name | Russell S Derhak |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194856583 PECOS PAC ID: 7810092483 Enrollment ID: I20070411000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Light Chiropractic, P.a. 4630 97th Ave N, Brooklyn Park, MN 55443 Ph: (763) 486-3945 | Inner Light Chiropractic, P.a. 4630 97th Ave N, Brooklyn Park, MN 55443 Ph: (763) 486-3945 |
Mackenzie Wander, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 8465 W Broadway Ave, Brooklyn Park, MN 55445 Phone: 763-424-7750 Fax: 763-424-3444 | |
Duylinh Pham Nguyen, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7001 78th Ave N Ste 200, Brooklyn Park, MN 55445 Phone: 763-566-5888 Fax: 763-566-6111 | |
Dr. Suzanne M. Youngquist, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8509 Jefferson Ln N, Brooklyn Park, MN 55445 Phone: 763-425-4577 Fax: 763-425-2676 | |
Brooklyn Park Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9678 Colorado Ln N, Brooklyn Park, MN 55445 Phone: 763-391-9484 Fax: 763-391-9425 | |
Dr. Laura Jean Patterson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3118 Bluebell Ave N, Brooklyn Park, MN 55443 Phone: 612-242-1204 | |
Dr. Meghan Shogren Birt, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8509 Jefferson Ln N, Brooklyn Park, MN 55445 Phone: 763-425-4577 Fax: 763-425-2676 | |
Assurance Chiropractic, P.a. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3330 Brookdale Dr N, Brooklyn Park, MN 55443 Phone: 763-432-5073 Fax: 763-432-5074 |