| Prime Chiropractic & Rehab Center | |
|
200 Village Center Dr Ste 800, North Oaks, MN 55127-7092 | |
| (651) 235-9736 | |
| (651) 800-9895 |
| Full Name | Prime Chiropractic & Rehab Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 200 Village Center Dr Ste 800, North Oaks, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316535958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Derek Jh Kang |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932454543 PECOS PAC ID: 8527472810 Enrollment ID: I20210127003325 |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Chiropractic & Rehab Center 200 Village Center Dr Ste 800, North Oaks, MN 55127-7092 Ph: (651) 235-9736 | Prime Chiropractic & Rehab Center 200 Village Center Dr Ste 800, North Oaks, MN 55127-7092 Ph: (651) 235-9736 |
Dr. Timothy Jon Vaagenes Sr., D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 Village Center Dr, Suite 100, North Oaks, MN 55127 Phone: 651-415-0446 | |
Dr. Nicholas Mark Ribar, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 119 Village Center Dr, North Oaks, MN 55127 Phone: 651-255-9999 Fax: 651-699-2065 | |
Dr. Derek Jh Kang, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 200 Village Center Dr Ste 800, North Oaks, MN 55127 Phone: 678-923-3568 Fax: 651-800-9895 |