Healthcare Provider Details

I. General information

NPI: 1952509143
Provider Name (Legal Business Name): CHIROPRACTIC CONNECTION PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 07/25/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 COUNTY ROAD 75 W
SAINT JOSEPH MN
56374-8660
US

IV. Provider business mailing address

709 COUNTY ROAD 75 W
SAINT JOSEPH MN
56374-8660
US

V. Phone/Fax

Practice location:
  • Phone: 320-363-4694
  • Fax: 320-363-4643
Mailing address:
  • Phone: 320-363-4694
  • Fax: 320-363-4643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. KEITH R SCHLEPER
Title or Position: CEO
Credential: D.C.
Phone: 320-363-4694