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NPI Code Detail

MEDICARE: DR. CHAD ALAN MALWITZ D.C.

MEDICARE: DR. CHAD ALAN MALWITZ D.C.
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
1111N00000XChiropractor3445MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1157L4WEOTHERMNBCBS NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841296290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHAD ALAN MALWITZ D.C.
Provider Business Mailing Address
First Line : 105 N GROVE ST
Second Line :
City : BLUE EARTH
State : MN
Zip : 56013-2407
Country : US
Telephone Number : 507-525-2931
Fax Number :
Provider Business Practice Location Address
First Line : 105 N GROVE ST
Second Line :
City : BLUE EARTH
State : MN
Zip : 56013-2407
Country : US
Telephone Number : 507-526-5656
Fax Number : 507-526-5757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2005
Last Update Date : 11/08/2022

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