| Lighthouse Chiropractic Health Center, Inc | |
|
710 Dodge Ave Nw, Suite C, Elk River, MN 55330-2019 | |
| (763) 441-1701 | |
| (763) 441-5348 |
| Full Name | Lighthouse Chiropractic Health Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 710 Dodge Ave Nw, Elk River, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487721684 | NPI | - | NPPES |
| 5C580ST | Other | MN | BLUE CROSS BLUE SHIELD |
| 6855253-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3331 (Minnesota) | Primary |
| Provider Name | Martin O Eng |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1740255686 PECOS PAC ID: 1153321716 Enrollment ID: I20070104000177 |
| Provider Name | James Bradley Dietz |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881057651 PECOS PAC ID: 0143578112 Enrollment ID: I20180808000000 |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Chiropractic Health Center, Inc 710 Dodge Ave Nw, Suite C, Elk River, MN 55330-2019 Ph: (763) 441-1701 | Lighthouse Chiropractic Health Center, Inc 710 Dodge Ave Nw, Suite C, Elk River, MN 55330-2019 Ph: (763) 441-1701 |
Michael Harold Rafferty, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 653 Main St Nw, Elk River, MN 55330 Phone: 763-441-2411 | |
Dr. Benjamin Robert Kinderman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 763-587-4885 | |
Power Within Chiropractic Of Elk River Chiropractor Medicare: Medicare Enrolled Practice Location: 804 Freeport Ave Nw, Suite A, Elk River, MN 55330 Phone: 763-441-3830 | |
Dr. Todd Anderson, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 231 Main St Nw Ste 2, Elk River, MN 55330 Phone: 636-735-3534 | |
Dr. Lauren Ashley Kinderman, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 530 3rd St Nw, Elk River, MN 55330 Phone: 763-587-4800 Fax: 651-587-4885 | |
Jennifer Kay Dahlseid, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 5th St Nw Ste J, Elk River, MN 55330 Phone: 320-290-0449 | |
Jeffrey Schneider, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 19242 Evans St Nw, Elk River, MN 55330 Phone: 763-241-5393 |