Bronson Chiropractic Llc | |
2837 Lyndale Ave S Minneapolis MN 55408-2109 | |
(612) 872-9596 | |
Not Available |
Full Name | Bronson Chiropractic Llc |
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Speciality | Clinic/Center |
Location | 2837 Lyndale Ave S, Minneapolis, Minnesota |
Authorized Official Name and Position | Gavin Bronson (OWNER) |
Authorized Official Contact | 6129163256 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bronson Chiropractic Llc 2837 Lyndale Ave S Minneapolis MN 55408-2109 Ph: (612) 872-9596 | Bronson Chiropractic Llc 2837 Lyndale Ave S Minneapolis MN 55408-2109 Ph: (612) 872-9596 |
NPI Number | 1801594619 |
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Provider Enumeration Date | 02/21/2023 |
Last Update Date | 02/21/2023 |
Medicare PECOS PAC ID | 6406380815 |
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Medicare Enrollment ID | O20241107002692 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801594619 | NPI | - | NPPES |
H400649245 | Medicaid | MN |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Gavin P Bronson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1942834734 PECOS PAC ID: 1355770694 Enrollment ID: I20200407002636 |
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