Healthcare Provider Details

I. General information

NPI: 1174456073
Provider Name (Legal Business Name): ANNA PAYNE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 MAIN ST NW STE 2
ELK RIVER MN
55330-4521
US

IV. Provider business mailing address

231 MAIN ST NW STE 2
ELK RIVER MN
55330-4521
US

V. Phone/Fax

Practice location:
  • Phone: 763-760-9176
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number7433
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: