| |
1515 W Lincoln Ave, Fergus Falls, MN 56537-1065 | |
(218) 739-3216 | |
(218) 739-2115 |
Full Name | |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 1515 W Lincoln Ave, Fergus Falls, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972519528 | NPI | - | NPPES |
108004100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4260 (Minnesota) | Primary |
111N00000X | Chiropractor | (* (Not Available)) | Secondary |
Provider Name | Laurie A Johnsrud |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1669415113 PECOS PAC ID: 3678565637 Enrollment ID: I20040420000606 |
Provider Name | Shelby Elisha Johnsrud |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548712219 PECOS PAC ID: 8123307543 Enrollment ID: I20161108000261 |
Mailing Address | Practice Location Address |
---|---|
1515 W Lincoln Ave, Fergus Falls, MN 56537-1065 Ph: (218) 739-3216 | 1515 W Lincoln Ave, Fergus Falls, MN 56537-1065 Ph: (218) 739-3216 |
Anthony Gettel Dc Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 755 Wildwood Trail, Fergus Falls, MN 56537 Phone: 218-739-2819 | |
Gettel Chiropractic, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 1515 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-739-3216 Fax: 218-739-2115 | |
Dean Simon Erlandson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 402 W Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-998-1099 Fax: 218-998-4010 | |
Lake Region Healthcare Corporation Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 301 E Lincoln Ave, Fergus Falls, MN 56537 Phone: 218-736-3972 | |
Dr. Zachary Allan Stach, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 109 N Mill St, Fergus Falls, MN 56537 Phone: 320-333-9391 |