| Parkway Family Chiropractic | |
|
201 W Burnsville Pkwy Suite 158 Burnsville MN 55337-2527 | |
| (952) 224-9466 | |
| Not Available |
| Full Name | Parkway Family Chiropractic |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 W Burnsville Pkwy, Burnsville, Minnesota |
| Authorized Official Name and Position | Lisa Boeser (PRESIDENT/OWNER) |
| Authorized Official Contact | 9522249466 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkway Family Chiropractic 201 W Burnsville Pkwy Suite 158 Burnsville MN 55337-2527 Ph: (952) 224-9466 | Parkway Family Chiropractic 201 W Burnsville Pkwy Suite 158 Burnsville MN 55337-2527 Ph: (952) 224-9466 |
| NPI Number | 1265669576 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 04/05/2023 |
| Medicare PECOS PAC ID | 3779637921 |
|---|---|
| Medicare Enrollment ID | O20090821000557 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265669576 | NPI | - | NPPES |
| 1447378146 | Other | MN | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4325 (Minnesota) | Primary |
| Provider Name | Lisa L Boeser |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447378146 PECOS PAC ID: 1557260643 Enrollment ID: I20040107000891 |
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