Healthcare Provider Details

I. General information

NPI: 1033145727
Provider Name (Legal Business Name): CHRISTINE ANN HESS INGBRETSON D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 03/01/2024
Certification Date: 03/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16230 ABERDEEN ST NE STE B
HAM LAKE MN
55304-5432
US

IV. Provider business mailing address

2415 149TH AVE NE
HAM LAKE MN
55304-6323
US

V. Phone/Fax

Practice location:
  • Phone: 763-208-5382
  • Fax: 763-208-2911
Mailing address:
  • Phone: 612-418-3587
  • Fax: 763-208-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number4695
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: