| Aspenridge Chiropractic Center P.a. | |
|
2511 Washington Ave Cloquet MN 55720-2845 | |
| (218) 879-5831 | |
| Not Available |
| Full Name | Aspenridge Chiropractic Center P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2511 Washington Ave, Cloquet, Minnesota |
| Authorized Official Name and Position | Chad Michael Spillers (PRESIDENT) |
| Authorized Official Contact | 2188795831 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspenridge Chiropractic Center P.a. 2511 Washington Ave Cloquet MN 55720-2845 Ph: (218) 879-5831 | Aspenridge Chiropractic Center P.a. 2511 Washington Ave Cloquet MN 55720-2845 Ph: (218) 879-5831 |
| NPI Number | 1346447471 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 08/23/2013 |
| Medicare PECOS PAC ID | 5496710071 |
|---|---|
| Medicare Enrollment ID | O20041123000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346447471 | NPI | - | NPPES |
| 8279659-00 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC3901 (Minnesota) | Primary |
| Provider Name | Chad M Spillers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1720164049 PECOS PAC ID: 2860457454 Enrollment ID: I20071114000090 |
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