Marty Chiropractic & Wellness Llc | |
18476 Kenrick Ave, Suite 201, Lakeville, MN 55044-9288 | |
(612) 440-5776 | |
(952) 236-6732 |
Full Name | Marty Chiropractic & Wellness Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 18476 Kenrick Ave, Lakeville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1043761133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6189 (Minnesota) | Primary |
Provider Name | Joshua Scott Marty |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1134663321 PECOS PAC ID: 5193007086 Enrollment ID: I20170130001997 |
Mailing Address | Practice Location Address |
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Marty Chiropractic & Wellness Llc 18476 Kenrick Ave, Suite 201, Lakeville, MN 55044-9288 Ph: (612) 440-5776 | Marty Chiropractic & Wellness Llc 18476 Kenrick Ave, Suite 201, Lakeville, MN 55044-9288 Ph: (612) 440-5776 |
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