MEDICARE: MCFERSON CHIROPRACTIC PLLC

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	6080	MN

General Provider Information

NPI Number	:	1700266392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCFERSON CHIROPRACTIC PLLC

Provider Business Mailing Address
First Line	:	649 FILLMORE ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2523
Country	:	US
Telephone Number	:	612-564-5511
Fax Number	:

Provider Business Practice Location Address
First Line	:	649 FILLMORE ST NE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55413-2523
Country	:	US
Telephone Number	:	612-564-5511
Fax Number	:

Authorized Official
Title or Position	:	OWNER/REGISTERED AGENT
Name	:	ERIN MARGARET MCFERSON
Credential	:	D.C.
Telephone Number	:	612-564-5511

Provider Enumeration Date	:	06/09/2015
Last Update Date	:	11/14/2016

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