| Zika Chiropractic, Pllc | |
|
17652 Kenwood Trl Lakeville MN 55044-9764 | |
| (952) 406-0062 | |
| Not Available |
| Full Name | Zika Chiropractic, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17652 Kenwood Trl, Lakeville, Minnesota |
| Authorized Official Name and Position | Jacob William Zika (CHIEF MANAGER) |
| Authorized Official Contact | 9525956325 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zika Chiropractic, Pllc 17652 Kenwood Trl Lakeville MN 55044-9764 Ph: (952) 595-6325 | Zika Chiropractic, Pllc 17652 Kenwood Trl Lakeville MN 55044-9764 Ph: (952) 406-0062 |
| NPI Number | 1174047617 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 8628341211 |
|---|---|
| Medicare Enrollment ID | O20170901001255 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174047617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5402 (Minnesota) | Primary |
| Provider Name | Jacob W Zika |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881870897 PECOS PAC ID: 3476639741 Enrollment ID: I20100824001308 |
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