Lighthouse Chiropractic, Pa | |
10700 Highway 55, Suite 100, Plymouth, MN 55441-6100 | |
(763) 543-9080 | |
(763) 543-9082 |
Full Name | Lighthouse Chiropractic, Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 10700 Highway 55, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427353093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Brian D Boyd |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1376608570 PECOS PAC ID: 9739085515 Enrollment ID: I20031211000486 |
Mailing Address | Practice Location Address |
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Lighthouse Chiropractic, Pa 10700 Highway 55, Suite 100, Plymouth, MN 55441-6100 Ph: (763) 543-9080 | Lighthouse Chiropractic, Pa 10700 Highway 55, Suite 100, Plymouth, MN 55441-6100 Ph: (763) 543-9080 |
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