| Lexington Square Chiropractic Center Pllc | |
|
4137 Woodland Rd Circle Pines MN 55014-3529 | |
| (763) 784-5104 | |
| Not Available |
| Full Name | Lexington Square Chiropractic Center Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4137 Woodland Rd, Circle Pines, Minnesota |
| Authorized Official Name and Position | Paul J Osterbauer (OWNER) |
| Authorized Official Contact | 7637845304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lexington Square Chiropractic Center Pllc 4137 Woodland Rd Circle Pines MN 55014-3529 Ph: (763) 784-5304 | Lexington Square Chiropractic Center Pllc 4137 Woodland Rd Circle Pines MN 55014-3529 Ph: (763) 784-5104 |
| NPI Number | 1831969823 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 01/02/2024 |
| Medicare PECOS PAC ID | 7416394143 |
|---|---|
| Medicare Enrollment ID | O20240318001774 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831969823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Paul J Osterbauer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548344955 PECOS PAC ID: 6507017175 Enrollment ID: I20121107000268 |
Phoenix 180 Housing Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9450 Lexington Ave N Apt 223, Circle Pines, MN 55014 Phone: 480-266-2247 |