Healthcare Provider Details

I. General information

NPI: 1265879043
Provider Name (Legal Business Name): CHRISTINA CHASE D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 09/19/2022
Certification Date: 09/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1724 37TH ST NW
ROCHESTER MN
55901-4228
US

IV. Provider business mailing address

1724 37TH ST NW
ROCHESTER MN
55901-4228
US

V. Phone/Fax

Practice location:
  • Phone: 507-424-1200
  • Fax: 507-288-3249
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number5803
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: