<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
Fax:
Website:
Authorized official contact:
Name: Jurgenson, Randy Johan Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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