<Unavail>
LBN: Crow River Enterprises
<Unavail> is an health care organization with primary practice located at 1507 Jefferson St Se Suite 1, Hutchinson MN 55350. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Crow River Enterprises can be contacted via phone (320) 587-2215, or through Jurgenson, Randy Johan via phone (320) 587-2215.
Contact Information
Primary practice address
1507 Jefferson St Se Suite 1
Hutchinson MN 55350
Phone: (320) 587-2215
Fax:
Website:
Authorized official contact:
Name: Jurgenson, Randy Johan Doctor of Chiropractic (DC)
Phone: (320) 587-2215
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3383 | Minnesota |
Profile Details
| NPI number | 1164614202 |
|---|---|
| LBN Legal business name | Crow River Enterprises |
| DBA Doing business as | <Unavail> |
| Authorized official | Jurgenson, Randy Johan Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2007 |
| Last updated | Jan 6th, 2011 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164614202 | NPPES |
| Minnesota | Other | 603860 | ACN CHIROCARE |
| Minnesota | Other | 0303 | ACN CHIROCARE |
| Minnesota | MEDICAID | 344727800 | ACN CHIROCARE |
| Minnesota | Other | 54F01CR | ACN CHIROCARE |
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