Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC is a
Chiropractor based in Golden Valley, Minnesota. Dr Krystle E Lieberman Wall is licensed to practice in Minnesota (license number 5317) and her current practice location is
5801 Duluth St, Suite 150, Golden Valley, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(736) 541-1280.
NPI number for Dr Krystle E Lieberman Wall is 1699093021 and her current mailing address is 5801 Duluth St, Suite 150, Golden Valley, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699093021.
Healthcare Provider's Profile
| Full Name | Dr Krystle E Lieberman Wall |
|---|
| Gender | Female |
|---|
| Speciality | Chiropractor |
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| Location | 5801 Duluth St, Golden Valley, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699093021
- Provider Enumeration Date: 05/10/2010
- Last Update Date: 09/08/2022
Medical Identifiers
Medical identifiers for Dr Krystle E Lieberman Wall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699093021 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 2716 (Minnesota) | Secondary |
| 171100000X | Acupuncturist | 876 (Minnesota) | Secondary |
| 174N00000X | Lactation Consultant, Non-rn | (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 5317 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Krystle E Lieberman Wall is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC
5801 Duluth St, Suite 150,
Golden Valley, MN 55422-3958
Ph: (736) 541-1280 | Dr Krystle E Lieberman Wall, DC, RD, LD, CBS LC
5801 Duluth St, Suite 150,
Golden Valley, MN 55422-3958
Ph: (736) 541-1280 |
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