| Shakopee Chiropractic Center | |
|
1240 3rd Ave E Suite 9 Shakopee MN 55379-1679 | |
| (952) 445-7890 | |
| (952) 445-7893 |
| Full Name | Shakopee Chiropractic Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1240 3rd Ave E, Shakopee, Minnesota |
| Authorized Official Name and Position | Ronald Mash (PRES) |
| Authorized Official Contact | 9524457890 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shakopee Chiropractic Center 1240 3rd Ave E Suite 9 Shakopee MN 55379-1679 Ph: (952) 445-7890 | Shakopee Chiropractic Center 1240 3rd Ave E Suite 9 Shakopee MN 55379-1679 Ph: (952) 445-7890 |
| NPI Number | 1104952589 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 12/03/2007 |
| Medicare PECOS PAC ID | 4183722382 |
|---|---|
| Medicare Enrollment ID | O20070612000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104952589 | NPI | - | NPPES |
| 51413SH | Other | MN | BCBS OF MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Johnson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003911108 PECOS PAC ID: 7214035427 Enrollment ID: I20070612000716 |
Allina Health Dean Lakes Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4201 Dean Lakes Blvd Ste 120, Shakopee, MN 55379 Phone: 952-496-6700 Fax: 952-445-6448 | |
Chaska Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1335 10th Ave E, Shakopee, MN 55379 Phone: 952-496-6700 Fax: 952-445-9446 | |
Allina Health Shakopee Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1601 St Francis Ave, Ste 100, Shakopee, MN 55379 Phone: 952-428-3535 Fax: 952-428-3599 | |
St Francis Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1455 Saint Francis Ave, Shakopee, MN 55379 Phone: 952-428-3000 |