Pequot Lakes Chiropractic Pa

LBN: Pequot Lakes Chiropractic Pa
Pequot Lakes Chiropractic Pa is an health care organization with primary practice located at 31095 Berquist Dr , Pequot Lakes MN 56472-5647. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Pequot Lakes Chiropractic Pa can be contacted via phone (218) 568-7767, or through Dietze, Joshua Alan via phone (218) 568-7677.

Contact Information

Primary practice address
31095 Berquist Dr Pequot Lakes MN 56472-5647
Phone: (218) 568-7767
Fax: (218) 568-4580
Website:
Map and Directions
Authorized official contact:
Name: Dietze, Joshua Alan Doctor of Chiropractic (DC)
Phone: (218) 568-7677

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1417540774
LBN Legal business name Pequot Lakes Chiropractic Pa
DBA Doing business as
Authorized official Dietze, Joshua Alan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2021
Last updated Feb 18th, 2021 - about 5 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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