Open Heart Chiropractic Pa | |
12265 Central Ave Ne, Blaine, MN 55434-3961 | |
(763) 757-8511 | |
Not Available |
Full Name | Open Heart Chiropractic Pa |
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Type | Facility |
Speciality | Chiropractor |
Location | 12265 Central Ave Ne, Blaine, 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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1811687015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Daniel P Chaves |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1780374439 PECOS PAC ID: 1456715770 Enrollment ID: I20230920001590 |
Provider Name | Amanda Smith |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1871294488 PECOS PAC ID: 2062862105 Enrollment ID: I20240102001502 |
Mailing Address | Practice Location Address |
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Open Heart Chiropractic Pa 12265 Central Ave Ne Ste 108, Blaine, MN 55434-3998 Ph: (763) 757-8511 | Open Heart Chiropractic Pa 12265 Central Ave Ne, Blaine, MN 55434-3961 Ph: (763) 757-8511 |
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