Jc Lotzer Chiropractic Inc | |
213 7th St S Moorhead MN 56560-2740 | |
(218) 233-5141 | |
(218) 233-3348 |
Full Name | Jc Lotzer Chiropractic Inc |
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Speciality | Clinic/Center |
Location | 213 7th St S, Moorhead, Minnesota |
Authorized Official Name and Position | Jeff Lotzer (PRESIDENT) |
Authorized Official Contact | 2182335141 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jc Lotzer Chiropractic Inc 213 7th St S Moorhead MN 56560-2740 Ph: (218) 233-5141 | Jc Lotzer Chiropractic Inc 213 7th St S Moorhead MN 56560-2740 Ph: (218) 233-5141 |
NPI Number | 1629209218 |
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Provider Enumeration Date | 07/31/2009 |
Last Update Date | 07/28/2023 |
Medicare PECOS PAC ID | 1456709401 |
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Medicare Enrollment ID | O20231130003242 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629209218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Jeffrey C Lotzer |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1699832600 PECOS PAC ID: 5092739011 Enrollment ID: I20060118000029 |
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