MEDICARE: AGAPE CHIROPRACTIC, P.A.

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	5583	MN

General Provider Information

NPI Number	:	1528337292
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AGAPE CHIROPRACTIC, P.A.

Provider Business Mailing Address
First Line	:	275 37TH ST NE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-3406
Country	:	US
Telephone Number	:	507-266-8325
Fax Number	:	507-266-8327

Provider Business Practice Location Address
First Line	:	275 37TH ST NE
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55906-3406
Country	:	US
Telephone Number	:	507-266-8325
Fax Number	:	507-226-8327

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. ELIZABETH ANN SCHAFER
Credential	:	D.C.
Telephone Number	:	507-266-8325

Provider Enumeration Date	:	12/23/2011
Last Update Date	:	11/21/2018

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