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NPI Code Detail

MEDICARE: CHASE CHIROPRACTIC

MEDICARE: CHASE CHIROPRACTIC
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
1111N00000XChiropractorB00876NV
2111N00000XChiropractor5653MN

General Provider Information

NPI Number : 1326055468
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHASE CHIROPRACTIC
Provider Business Mailing Address
First Line : PO BOX 547
Second Line :
City : BATTLE LAKE
State : MN
Zip : 56515-0547
Country : US
Telephone Number : 218-862-4325
Fax Number :
Provider Business Practice Location Address
First Line : 104 MEMORY LANE
Second Line :
City : BATTLE LAKE
State : MN
Zip : 56515
Country : US
Telephone Number : 218-862-4325
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : DR. JOHN GERALD CHASE
Credential : D.C.
Telephone Number : 218-862-4325
Provider Enumeration Date : 08/02/2006
Last Update Date : 10/28/2015

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Directions to “CHASE CHIROPRACTIC ” Practice Location

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