DR. BRENDA LEE FANDEL


Address: 967 Lake St S, Forest Lake, MN 55025-2616
Phone: 6514641113

DR. BRENDA LEE FANDEL (NPI# 1356338339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356338339
Entity Type Individual
Full Name DR. BRENDA LEE FANDEL
Credential D.C.
Practice Address 967 Lake St S
Forest Lake
MN 55025-2616
Practice Telephone 6514641113
Mailing Telephone 6514641113
Enumeration Date 2005-10-04
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 3214 MN Chiropractic Providers

Office Location

Street Address 967 LAKE ST S
City FOREST LAKE
State MN
Zip Code 55025-2616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821400631 Lisa Marie Forslund Nurse Practitioner 967 Lake St S, Forest Lake, MN 55025-2616 2014-05-28
1639461544 James Walter Chapman Chiropractor 967 Lake St S, Forest Lake, MN 55025-2616 2011-05-11
1841522166 Vladimir Joseph Scharafanow Massage Therapist 967 Lake St S, Forest Lake, MN 55025-2616 2010-02-11
1407187511 Janice Lee James Nurse Practitioner 967 Lake St S, Forest Lake, MN 55025-2616 2010-01-29
1194992131 Daniel Philip Piper Chiropractor 967 Lake St S, Forest Lake, MN 55025-2616 2008-05-09
1588749642 Donald Wayne Kjome Family Medicine 967 Lake St S, Forest Lake, MN 55025-2616 2006-10-26
1720097389 Deborah S Korbitz Nurse Practitioner 967 Lake St S, Forest Lake, MN 55025 2006-08-05
1467403030 Lakes Area Health Center, Pllc Clinic/Center 967 Lake St S, Forest Lake, MN 55025 2006-05-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043846173 Persistence Physical Therapy LLC Clinic/Center 2009 W Broadway Ave, Ste 400 Pmb 131, Forest Lake, MN 55025 2020-03-20
1255973319 Connie Rettig Technician 908 North Shore Drive, Forest Lake, MN 55025 2019-10-10
1003394479 Malissa Ann Costanzo Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 844 8th Ave Se, Forest Lake, MN 55025 2018-07-30
1669754735 Brent Alan Millard Pharmacist 1207 West Broadway Ave, Forest Lake, MN 55025 2011-09-15
1982842167 Lakes Center for Youth and Families Community/Behavioral Health 20 N Lake Street, Suite 103, Forest Lake, MN 55025 2009-01-27
1487843355 Paul Luke Mladnick Marriage & Family Therapist 1068 So Lake St, #109, Forest Lake, MN 55025 2007-10-17
1740477678 Rita Lynn Scanlan Occupational Therapist 604 Ne 1st St, Birchwood Health Care Center, Forest Lake, MN 55025 2007-09-25
1114053113 Senior Care Forest Lake, LLC Skilled Nursing Facility 604 N.e. First Street, Forest Lake, MN 55025 2007-02-26
1073672101 Catharine B Ruther Dentist 956 West Broadway, Lakes Dental Clinic, Forest Lake, MN 55025 2006-12-06
1407914849 Ervin George Savord Dentist 255 Highway 97, Suite 1b, Forest Lake, MN 55025 2006-12-05
Find all providers in zip 55025

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932430907 Dayspring Family Wellness Center Chiropractor 1401 14th Ave Se, Forest Lake, MN 55025-2081 2010-01-14
1326160003 Jason Paul Gerard Chiropractor 255 Highway 97 Unit 2a, Forest Lake, MN 55025-2687 2007-04-04
1073642567 Bracht Chiropractic, P.a. Chiropractor 15226 W Freeway Dr Ne, Forest Lake, MN 55025-9433 2007-03-02
1033244041 Steven Z Johnson Chiropractor 662 Lake St S, Forest Lake, MN 55025-2611 2007-02-22
1104968742 David Jeffrey Lewis Chiropractor 591 N Shore Dr, Forest Lake, MN 55025-1217 2007-02-12
1932273133 Jack Lewis Duncan Chiropractor 707 West Broadway, Forest Lake, MN 55025-1408 2006-11-20
1972674620 James Allen Laskow Chiropractor 822 Lake St S, Forest Lake, MN 55025-2614 2006-11-13
1568479996 Mark W Kari Chiropractor 824 Lake St S, Forest Lake, MN 55025-2614 2006-08-01
1619982022 Kari Clinic of Chiropractic, P.a. Chiropractor 368 Lake St S, Forest Lake, MN 55025-2626 2006-07-31
1598752859 Richard Vincent Ottomeyer Chiropractor 168 Lake St S Ste C, Forest Lake, MN 55025-4401 2005-10-03
Find all providers in FOREST LAKE

Competitor

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City FOREST LAKE
Zip Code 55025

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Dataset Information

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.

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