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NPI Code Detail

MEDICARE: MCINTEE CHIROPRACTIC CLINIC

MEDICARE: MCINTEE 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
1111N00000XChiropractor3061MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13C239MCOTHERMNBCBC INSURANCE
2P00175907OTHERMNRAILROAD RETIREMENT BOARD

General Provider Information

NPI Number : 1760603609
Entity Type Code : Organization
Provider Name (Legal Business Name) : MCINTEE CHIROPRACTIC CLINIC
Provider Business Mailing Address
First Line : 114 3RD ST N
Second Line :
City : CANNON FALLS
State : MN
Zip : 55009-2011
Country : US
Telephone Number : 507-263-2929
Fax Number :
Provider Business Practice Location Address
First Line : 114 3RD ST N
Second Line :
City : CANNON FALLS
State : MN
Zip : 55009-2011
Country : US
Telephone Number : 507-263-2929
Fax Number :
Authorized Official
Title or Position : CHIROPRACTIC DOCTOR
Name : DR. PATRICK J MCINTEE
Credential : DC
Telephone Number : 507-263-2929
Provider Enumeration Date : 05/01/2007
Last Update Date : 12/05/2007

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Directions to “MCINTEE CHIROPRACTIC CLINIC ” Practice Location

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