Healthcare Provider Details

I. General information

NPI: 1013106053
Provider Name (Legal Business Name): URBAIN FAMILY CHIROPRACTIC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2007
Last Update Date: 01/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 2ND AVE SE
ELGIN MN
55932-9732
US

IV. Provider business mailing address

128 2ND AVE SE PO BOX 317
ELGIN MN
55932-9732
US

V. Phone/Fax

Practice location:
  • Phone: 507-876-9997
  • Fax: 507-876-9923
Mailing address:
  • Phone: 507-876-9997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3916
License Number StateMN

VIII. Authorized Official

Name: DR. COLLEEN URBAIN HESS
Title or Position: OWNER
Credential: D.C
Phone: 507-876-9997