MEDICARE: JACKLITCH CHIROPRACTIC CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2434	MN

General Provider Information

NPI Number	:	1235329970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JACKLITCH CHIROPRACTIC CLINIC

Provider Business Mailing Address
First Line	:	645 LAKE AVE S
Second Line	:
City	:	PAYNESVILLE
State	:	MN
Zip	:	56362-1736
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	645 LAKE AVE S
Second Line	:
City	:	PAYNESVILLE
State	:	MN
Zip	:	56362-1736
Country	:	US
Telephone Number	:	320-243-7412
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RANDAL JACKLITCH
Credential	:
Telephone Number	:	320-243-7412

Provider Enumeration Date	:	07/30/2007
Last Update Date	:	10/04/2007

Similar Medicare Providers

1639137987 — PAYNESVILLE AREA HOSPITAL DISTRICT
Practice Location Address:

645 LAKE AVE S
PAYNESVILLE, MN
56362-1736

Practice Phone: 320-243-3000
Practice Fax:

1447201561 — DR. RANDAL JOSEPH JACKLITCH D.C.
Practice Location Address:

645 LAKE AVE S
PAYNESVILLE, MN
56362-1736

Practice Phone: 320-243-7412
Practice Fax: 320-243-7170

1760485908 — DR. TODD D LEMKE PHARMD CDE
Practice Location Address:

200 FIRST ST W
PAYNESVILLE, MN
56362

Practice Phone: 320-243-7772
Practice Fax: 320-243-7910

1538136882 — JULIE KAY YOUNGS MD
Practice Location Address:

200 W 1ST ST
PAYNESVILLE, MN
56362-1445

Practice Phone: 320-243-3767
Practice Fax: 320-243-3174

1235107285 — MR. JOSEPH WALTER STEPHANIE CRNA
Practice Location Address:

55837 E HIGHWAY 55 , BOX 121
PAYNESVILLE, MN
56362-9394

Practice Phone: 320-243-3908
Practice Fax:

1457329393 — MRS. JACQUELINE S OSTERHAUS PA-C
Practice Location Address:

200 W 1ST ST
PAYNESVILLE, MN
56362-1445

Practice Phone: 320-243-3779
Practice Fax:

Directions to “JACKLITCH CHIROPRACTIC CLINIC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.