SG CHIROPRACTIC PC (NPI# 1023434164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023434164 |
| Entity Type | Organization |
| Organization Name | SG CHIROPRACTIC PC |
| Other Organization Name | ADVANCED BODY CHIROPRACTIC |
| Practice Address |
93 20th St Ne Stewartville MN 55976-8421 |
| Practice Telephone | 5075334777 |
| Practice Fax Number | 5075334778 |
| Mailing Telephone | 5075334777 |
| Mailing Fax Number | 5075334778 |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MR. GREG LILLIS (BUSINESS MANAGER) |
| Authorized Official Telephone | 5075334777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4424 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 3366567 | 05 |
| Other Name | Type Code |
|---|---|
| Advanced Body Chiropractic | Doing Business As Name - Organization |
| Street Address |
93 20TH ST NE |
| City | STEWARTVILLE |
| State | MN |
| Zip Code | 55976-8421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760588651 | Advanced Body Chiropractic Pa | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2006-09-16 |
| 1275048951 | Thomas Francis Sheehan | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2017-12-04 |
| 1750712873 | Brandon Mickelson | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2013-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669987111 | Vanessa Mae Peterson | Foster Care Agency | 2012 Osprey Place Nw, Stewartville, MN 55976 | 2017-12-06 |
| 1912292707 | Zachary John Lechner | Dentist | 100 Second Street Se, 1, Stewartville, MN 55976 | 2011-06-09 |
| 1912148206 | Mcbe Company | Pharmacy | 220 Centertown Plaza, Stewartville, MN 55976 | 2009-03-16 |
| 1780763342 | Ind School Dist 534 | Local Education Agency (LEA) | 500 4th St Sw, Stewartville, MN 55976 | 2006-11-03 |
| 1760422927 | Judith A Devorak | Nurse Practitioner | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-07 |
| 1700829439 | Craig Thauwald | Family Medicine | 208 Centertown Plaza, Stewartville, MN 55976 | 2006-06-13 |
| 1790726727 | Kevin William Huelskamp | Chiropractor | 120 South Main Street, Stewartville, MN 55976 | 2006-06-09 |
| 1982609525 | Stephanie Christine Lillis | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2005-06-20 |
| 1750543880 | Robert James Jensen | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2008-06-30 |
| 1871985028 | Leroy Johnson Jr. | Registered Nurse | 319 23rd St Nw, Stewartville, MN 55976-1026 | 2015-02-25 |
| Find all providers in zip 55976 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588992358 | Justin Alan Cyphers | Chiropractor | 120 Main St S, Stewartville, MN 55976-1661 | 2009-12-05 |
| 1578722047 | Michael George Kuderer | Chiropractor | 111 Main St N, Stewartville, MN 55976-1226 | 2008-06-09 |
| 1760588651 | Advanced Body Chiropractic Pa | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2006-09-16 |
| 1982609525 | Stephanie Christine Lillis | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2005-06-20 |
| 1790308211 | Daniel Benjamin Heim | Chiropractor | 111 Main St N, Stewartville, MN 55976-1226 | 2020-05-19 |
| 1275048951 | Thomas Francis Sheehan | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2017-12-04 |
| 1750712873 | Brandon Mickelson | Chiropractor | 93 20th St Ne, Stewartville, MN 55976-8421 | 2013-12-01 |
| 1750543880 | Robert James Jensen | Chiropractor | 100 20th St Nw, Stewartville, MN 55976-1003 | 2008-06-30 |
| 1477732261 | Huelskamp Chiropractic Clinic, P.a. | Chiropractor | 120 S Main St, Stewartville, MN 55976-1661 | 2007-10-29 |
| 1790726727 | Kevin William Huelskamp | Chiropractor | 120 South Main Street, Stewartville, MN 55976 | 2006-06-09 |
| Find all providers in STEWARTVILLE | ||||
| City | STEWARTVILLE |
| Zip Code | 55976 |
Please comment or provide details below to improve the information on SG CHIROPRACTIC PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.