Elk River Chiropractic,p.a. | |
653 Main St Nw Elk River MN 55330-1502 | |
(763) 441-2411 | |
Not Available |
Full Name | Elk River Chiropractic,p.a. |
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Speciality | Clinic/Center |
Location | 653 Main St Nw, Elk River, Minnesota |
Authorized Official Name and Position | Jordan Alberts (PRESIDENT) |
Authorized Official Contact | 7634412411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elk River Chiropractic,p.a. 653 Main St Nw Elk River MN 55330-1502 Ph: () - | Elk River Chiropractic,p.a. 653 Main St Nw Elk River MN 55330-1502 Ph: (763) 441-2411 |
NPI Number | 1598073579 |
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Provider Enumeration Date | 09/23/2010 |
Last Update Date | 04/20/2023 |
Medicare PECOS PAC ID | 6507026895 |
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Medicare Enrollment ID | O20120323000210 |
Identifier | Type | State | Issuer |
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1598073579 | NPI | - | NPPES |
27247RA | Other | MN | BCBS |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 1850 (Minnesota) | Primary |
Provider Name | Michael H Rafferty |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063597391 PECOS PAC ID: 0547454654 Enrollment ID: I20101103000236 |
Provider Name | Jordan Teuscher Alberts |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1720506629 PECOS PAC ID: 7012278591 Enrollment ID: I20180226000005 |
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