| Southwest Chiropractic. Llc | |
|
7565 Office Ridge Cir, Eden Prairie, MN 55344-3651 | |
| (952) 943-1188 | |
| (952) 943-1177 |
| Full Name | Southwest Chiropractic. Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 7565 Office Ridge Cir, Eden Prairie, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487864906 | NPI | - | NPPES |
| 4477843 | Other | MN | HEALTH SERVICES MGMT, INC |
| 59878NO | Other | MN | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2103 (Minnesota) | Primary |
| Provider Name | Bradley D Wildberg |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528086311 PECOS PAC ID: 4486568623 Enrollment ID: I20051005000286 |
| Provider Name | Sharena Deonarain |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619990199 PECOS PAC ID: 9335135979 Enrollment ID: I20140527000042 |
| Provider Name | Tyler Joel Lursen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1528670155 PECOS PAC ID: 7517385560 Enrollment ID: I20220329001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Chiropractic. Llc 7565 Office Ridge Cir, Eden Prairie, MN 55344-3651 Ph: (952) 943-1188 | Southwest Chiropractic. Llc 7565 Office Ridge Cir, Eden Prairie, MN 55344-3651 Ph: (952) 943-1188 |
Dr. Stephen L. Marty, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6409 City West Pkwy Ste 105, Eden Prairie, MN 55344 Phone: 952-833-3038 | |
Well Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 966 Prairie Center Dr, Eden Prairie, MN 55344 Phone: 763-913-6156 | |
Dr. Jesse Ray Lillejord, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 Prairie Center Dr, Suite 200, Eden Prairie, MN 55344 Phone: 952-943-1188 Fax: 952-943-1177 | |
Ellis Performance & Injury Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6640 Shady Oak Rd Ste 325, Eden Prairie, MN 55344 Phone: 952-600-5329 | |
Eden Prairie Chirocenter Chiropractor Medicare: Medicare Enrolled Practice Location: 7820 Terrey Pine Ct Ste 102, Eden Prairie, MN 55347 Phone: 952-937-1226 | |
Dr. Brent Alexander Kvam, D.C., Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344 Phone: 952-974-2091 Fax: 952-974-2296 | |
Healthstar Chiropractic Center, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344 Phone: 952-974-2091 Fax: 952-974-2296 |