Hickory Health Clinic Pllc
LBN: Hickory Health Clinic Pllc
Hickory Health Clinic Pllc is an health care organization with primary practice located at 168 Lake St S Ste C , Forest Lake MN 55025-4401. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty.
Hickory Health Clinic Pllc can be contacted via phone (651) 226-8338, or through Ottomeyer, Richard Vincent via phone (651) 226-8338.
Contact Information
Primary practice address
168 Lake St S Ste C
Forest Lake MN 55025-4401
Phone: (651) 226-8338
Fax:
Website:
Authorized official contact:
Name: Ottomeyer, Richard Vincent Doctor of Chiropractic (DC)
Phone: (651) 226-8338
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X |
Profile Details
| NPI number | 1043841414 |
|---|---|
| LBN Legal business name | Hickory Health Clinic Pllc |
| DBA Doing business as | |
| Authorized official | Ottomeyer, Richard Vincent Doctor of Chiropractic (DC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 3rd, 2020 |
| Last updated | Feb 17th, 2020 - about 6 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 | 1043841414 | NPPES |
| Minnesota | MEDICAID | 51352700 |
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