| Park Chiropractic Clinic, Inc. | |
|
4 13th Ave N Waite Park MN 56387-1036 | |
| (320) 252-8383 | |
| (320) 252-9028 |
| Full Name | Park Chiropractic Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 4 13th Ave N, Waite Park, Minnesota |
| Authorized Official Name and Position | David Charles Anderson (PRESIDENT) |
| Authorized Official Contact | 3202528383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Park Chiropractic Clinic, Inc. 4 13th Ave N Waite Park MN 56387-1036 Ph: (320) 252-8383 | Park Chiropractic Clinic, Inc. 4 13th Ave N Waite Park MN 56387-1036 Ph: (320) 252-8383 |
| NPI Number | 1669486015 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669486015 | NPI | - | NPPES |
| 155216300 | Medicaid | MN | |
| 6C337PA | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 364 (Minnesota) | Primary |
Thrive Autism Center L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Division St, Waite Park, MN 56387 Phone: 320-200-2334 | |
Ellingson Chiropractic Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 3rd St N, Waite Park, MN 56387 Phone: 320-251-3828 Fax: 320-258-4481 |