Healthcare Provider Details

I. General information

NPI: 1427282268
Provider Name (Legal Business Name): THE HEALTH ENHANCEMENT CENTERS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2009
Last Update Date: 06/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 W REDWOOD ST
MARSHALL MN
56258-1853
US

IV. Provider business mailing address

104 W REDWOOD ST
MARSHALL MN
56258-1853
US

V. Phone/Fax

Practice location:
  • Phone: 507-532-2655
  • Fax: 507-532-2951
Mailing address:
  • Phone: 507-532-2655
  • Fax: 507-532-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. QUENTIN JAMES FIXEN
Title or Position: OWNER
Credential: D.C.
Phone: 507-532-2655