HUDSON CHIROPRACTIC, S.C. (NPI# 1396971909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396971909 |
| Entity Type | Organization |
| Organization Name | HUDSON CHIROPRACTIC, S.C. |
| Other Organization Name | FOR YOUR WELL BEING CHIROPRACTIC |
| Practice Address |
2479 County Road E E White Bear Lake MN 55110-4807 |
| Practice Telephone | 6517705433 |
| Practice Fax Number | 6517771733 |
| Mailing Telephone | 6517705433 |
| Mailing Fax Number | 6517771733 |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |
| Authorized Official Name | DR. TRAVIS BEAUCHAMP (PRESIDENT) |
| Authorized Official Telephone | 6517705433 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4935 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| For Your Well Being Chiropractic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023217924 | Hudson Chiropractic, S.c. | Chiropractor | 1810 Webster St, Suite 2, Hudson, WI 54016-9305 | 2007-07-12 |
| Street Address |
2479 COUNTY ROAD E E |
| City | WHITE BEAR LAKE |
| State | MN |
| Zip Code | 55110-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154743300 | For Your Well Being Chiropractic, S.c. | Chiropractor | 2479 County Road E E, White Bear Lake, MN 55110-4807 | 2014-01-07 |
| 1639407265 | Lori Matthews | Massage Therapist | 2479 County Road E E, White Bear Lake, MN 55110-4807 | 2009-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467071084 | St. Catherine University School Based Health Clinic | Nurse Practitioner | 5045 Division Ave, White Bear Lake, MN 55110 | 2020-04-14 |
| 1922450618 | Lisa Marie Thatcher | Podiatrist | 4653 White Bear Pkwy., St. Paul, MN 55110 | 2016-07-06 |
| 1558725598 | White Bear Dentists, PC | Dentist | 1970 Buerkle Road, White Bear Lake, MN 55110 | 2016-04-06 |
| 1124486246 | Julie Blaske | Counselor | 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 | 2016-02-03 |
| 1851761514 | Supervalu Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 1920 Buerkle Rd, White Bear Lake, MN 55110 | 2015-10-06 |
| 1821496969 | Leah Eichmiller | Acupuncturist | 2183 3rd Street, C/o Indulge Salon, White Bear Lake, MN 55110 | 2014-12-05 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1790121291 | Advanced Medical Home Care, LLC | Home Health | 2555 County Road E East, Suite 101, White Bear Lake, MN 55110 | 2013-05-11 |
| 1134468465 | Emergency Physicians Professional Association | Clinic/Center | 1159 E. County Road E, Vadnais Heights, MN 55110 | 2013-02-06 |
| 1639444284 | Rebecca Lynn Blaede | Counselor | 4858 Banning Avenue, White Bear Lake, MN 55110 | 2012-03-15 |
| Find all providers in zip 55110 | ||||
| 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 |
|---|---|---|---|---|
| 1992292437 | Shannon Mccarty | Chiropractor | 4760 Banning Ave Ste 218, White Bear Lake, MN 55110-3218 | 2018-04-19 |
| 1801344148 | Tara Schlecht | Chiropractor | 4461 White Bear Pkwy, White Bear Lake, MN 55110-7626 | 2016-09-15 |
| 1447672084 | Ashley Rath | Chiropractor | 1247 Gun Club Rd., White Bear Lake, MN 55110 | 2014-01-16 |
| 1184055873 | Kelley Lumbard | Chiropractor | 2025 4th St, White Bear Lake, MN 55110-2762 | 2013-12-05 |
| 1265773931 | Joel Thomas Anthony | Chiropractor | 3580 Linden Ave, White Bear Lake, MN 55110-4625 | 2013-03-06 |
| 1164703492 | Quast Clinic LLC | Chiropractor | 3607 White Bear Ave N, White Bear Lake, MN 55110-4744 | 2011-08-31 |
| 1194010603 | Sean Cameron Quast | Chiropractor | 1591 County Road H2, White Bear Lake, MN 55110-6401 | 2011-06-13 |
| 1457656613 | Brian James Lund | Chiropractor | 4717 Clark Avenue, White Bear Lake, MN 55110-3221 | 2011-01-20 |
| 1285939710 | R.j. Sass, Inc. | Chiropractor | 4436 Highway 61 N, White Bear Lake, MN 55110-3720 | 2011-01-13 |
| 1336387984 | Jacob Volkmann | Chiropractor | 3634 White Bear Ave N, Suite 300, White Bear Lake, MN 55110-4746 | 2009-02-04 |
| Find all providers in WHITE BEAR LAKE | ||||
| City | WHITE BEAR LAKE |
| Zip Code | 55110 |
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| 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.