| Institute For Chiropractic Rehabilitation Pa | |
|
8200 Humboldt Ave S Ste 204, Bloomington, MN 55431-1432 | |
| (952) 884-6144 | |
| (952) 884-9180 |
| Full Name | Institute For Chiropractic Rehabilitation Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 8200 Humboldt Ave S Ste 204, Bloomington, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922242627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Jason M Fredericks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1669689295 PECOS PAC ID: 4688840234 Enrollment ID: I20120103000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Chiropractic Rehabilitation Pa 8200 Humboldt Ave S Ste 204, Bloomington, MN 55431-1432 Ph: (952) 884-6144 | Institute For Chiropractic Rehabilitation Pa 8200 Humboldt Ave S Ste 204, Bloomington, MN 55431-1432 Ph: (952) 884-6144 |
Dr. Michael Jay Przeslawski, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2501 W 84th St, Bloomington, MN 55431 Phone: 952-888-4777 | |
Dr. Tientrien Trinh, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 9217 17th Ave S, Suite 711, Bloomington, MN 55425 Phone: 952-224-6332 | |
Dr. Neal Jay Rich, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 8120 Penn Ave S, Suite 525 Chiro Center Bloomington Pa, Bloomington, MN 55431 Phone: 952-884-1850 Fax: 952-884-3925 | |
William Charles Elkington, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2501 W 84th St, Bloomington, MN 55431 Phone: 952-885-5475 | |
Dr. Emilee Mytinger, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7492 W 78th St, Bloomington, MN 55439 Phone: 952-255-6980 | |
Intelligent Design Wellness Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2510 W 112th St, Bloomington, MN 55431 Phone: 651-558-1578 | |
Dr. Jennifer Lynn Engesether, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1650 W 82nd St, Suite 800, Bloomington, MN 55431 Phone: 952-844-0844 Fax: 952-844-0810 |