MEDICARE: CENTRAL CHIROPRACTIC & ACUPUNCTURE, 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	171100000X	Acupuncturist	114	MN
2	111N00000X	Chiropractor	2616	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4C916KO	OTHER	MN	BCBS OF MN

General Provider Information

NPI Number	:	1710902028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A.

Provider Business Mailing Address
First Line	:	1342 81ST AVE NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2116
Country	:	US
Telephone Number	:	763-784-3916
Fax Number	:	763-784-3829

Provider Business Practice Location Address
First Line	:	1342 81ST AVE NE
Second Line	:
City	:	SPRING LAKE PARK
State	:	MN
Zip	:	55432-2116
Country	:	US
Telephone Number	:	763-784-3916
Fax Number	:	763-784-3829

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	DR. MICHAEL ALAN KOHOUT
Credential	:	D.C.
Telephone Number	:	763-784-3916

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	04/10/2013

Similar Medicare Providers

1144935891 — SPECTRUMWORKS LLC
Practice Location Address:

1330 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 612-886-5794
Practice Fax:

1700821923 — MICHAEL ALAN KOHOUT D.C.
Practice Location Address:

1342 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-784-3916
Practice Fax: 763-784-3829

1588744304 — JOHN DWIGHT FERGUSON LICSW
Practice Location Address:

1340 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-783-4528
Practice Fax: 763-786-9729

1467696872 — JOHN FERGUSON LICSW LLC
Practice Location Address:

1340 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-783-4528
Practice Fax:

1851636716 — DR. JAMES D JESSEN D.C.
Practice Location Address:

1312 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 763-780-0112
Practice Fax:

1245982651 — RECOVERY HEALTH SERVICES, LLC
Practice Location Address:

1310 81ST AVE NE
SPRING LAKE PARK, MN
55432-2116

Practice Phone: 952-495-2863
Practice Fax:

Directions to “CENTRAL CHIROPRACTIC & ACUPUNCTURE, P.A. ” 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.