| West Metro Chiropractic Clinic | |
|
2756 Douglas Dr N, Crystal, MN 55422-2402 | |
| (763) 554-9667 | |
| Not Available |
| Full Name | West Metro Chiropractic Clinic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2756 Douglas Dr N, Crystal, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578781449 | NPI | - | NPPES |
| 62510HO | Other | MN | BCBS PROVIDER NUMBER |
| 0B109HO | Other | MN | BCBS PROVIDER NUMBER |
| 1306928957 | Other | PROVIDER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2657 (Minnesota) | Primary |
| Provider Name | Steven R Horbal |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1306928957 PECOS PAC ID: 4082710389 Enrollment ID: I20070503000049 |
| Mailing Address | Practice Location Address |
|---|---|
| West Metro Chiropractic Clinic 2756 Douglas Dr N, Crystal, MN 55422-2402 Ph: (763) 544-9667 | West Metro Chiropractic Clinic 2756 Douglas Dr N, Crystal, MN 55422-2402 Ph: (763) 554-9667 |
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