| |
7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 | |
(952) 931-9867 | |
(952) 931-9868 |
Full Name | |
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Speciality | Chiropractor |
Location | 7900 Excelsior Blvd Ste 100, Hopkins, Minnesota |
Authorized Official Name and Position | Shawn David Halliday (PRESIDENT) |
Authorized Official Contact | 9529319867 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 Ph: (952) 931-9867 | 7900 Excelsior Blvd Ste 100 Hopkins MN 55343-3446 Ph: (952) 931-9867 |
NPI Number | 1679534812 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 01/07/2025 |
Certification Date | 01/07/2025 |
Medicare PECOS PAC ID | 6507994951 |
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Medicare Enrollment ID | O20100506000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679534812 | NPI | - | NPPES |
001672100 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | William C Schumacher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649234030 PECOS PAC ID: 8527196989 Enrollment ID: I20100506000179 |
Provider Name | Daniel J Schumacher |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1609830082 PECOS PAC ID: 6002941291 Enrollment ID: I20100506000374 |
Provider Name | Shawn David Halliday |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1386194918 PECOS PAC ID: 5799193355 Enrollment ID: I20210420001112 |
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