Healthcare Provider Details

I. General information

NPI: 1942327549
Provider Name (Legal Business Name): BIERMAIER CHIROPRACTIC CLINIC P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1226 UNIVERSITY AVE
CROOKSTON MN
56716
US

IV. Provider business mailing address

PO BOX 496
CROOKSTON MN
56716
US

V. Phone/Fax

Practice location:
  • Phone: 218-281-6311
  • Fax: 218-281-6312
Mailing address:
  • Phone: 218-281-6311
  • Fax: 218-281-6312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2365
License Number StateMN

VIII. Authorized Official

Name: DR. STEVEN JEROME BIERMAIER
Title or Position: OWNER
Credential: DC
Phone: 218-281-6311