PETTERSON CHIROPRACTIC CLINIC PA (NPI# 1750451639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750451639 |
| Entity Type | Organization |
| Organization Name | PETTERSON CHIROPRACTIC CLINIC PA |
| Practice Address |
825 Bahls Drive Hastings MN 55033 |
| Practice Telephone | 6514801128 |
| Practice Fax Number | 6514383929 |
| Mailing Telephone | 6514801128 |
| Mailing Fax Number | 6514383929 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHAD JEREMY PETTERSON (OWNER PRESIDENT) |
| Authorized Official Telephone | 6514801128 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3748 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | HEALTH PARTNERS | 10G0179 | 01 |
| MN | BLUE CROSS BLUE SHIELD # | 198G8PE | 01 |
| MN | MEDICARE GROUP # | C03874 | 01 |
| Street Address |
825 BAHLS DRIVE |
| City | HASTINGS |
| State | MN |
| Zip Code | 55033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003986886 | Chad Jeremy Petterson | Chiropractor | 825 Bahls Drive, Hastings, MN 55033 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679052898 | Juan Miguel Almonte Sanchez | Dentist | 1465 N Frontage Rd, Hastings, MN 55033 | 2018-08-08 |
| 1194126995 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 1411 Vermillion, Hastings, MN 55033 | 2014-09-11 |
| 1134490469 | Bernie Jerome Menge | Counselor | 1303 S Frontage Rd Ste 275, Hastings, MN 55033 | 2012-01-18 |
| 1578874814 | Kristen Kingsbury Desautel | Optometrist | 1757 N. Frontage Rd, Hastings, MN 55033 | 2010-06-30 |
| 1790944973 | Parker Chiropractic Pa | Chiropractor | 1320 S Frontage Rd, Ste 102, Hastings, MN 55033 | 2008-06-03 |
| 1518144740 | Susan Hietala Levahn | Physical Therapist | 85 Pleasant Ave, Hastings, MN 55033 | 2008-01-30 |
| 1851578215 | John Thomas Tonsager | Physical Therapist | 1285 Nininger Road, Hastings, MN 55033 | 2008-01-29 |
| 1588849889 | Laura Lynn Richardson | Occupational Therapist | 85 Pleasant Drive, Hastings, MN 55033 | 2008-01-04 |
| 1518142801 | Debra Ann Perron Mccabe | Occupational Therapist | 1175 Nininger Road, Hastings, MN 55033 | 2008-01-04 |
| 1083899892 | Christina Marie Kummer | Occupational Therapist | 85 Pleasant, Regina Medical Center Ymca Location Out Pt Clinic, Hastings, MN 55033 | 2007-12-31 |
| Find all providers in zip 55033 | ||||
| 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 |
|---|---|---|---|---|
| 1851936827 | Brian Ross Fisk | Chiropractor | 422 N Hastings Ave # 201, Hastings, NE 68901-5169 | 2019-11-13 |
| 1669036810 | Subluxation 1, LLC | Chiropractor | 3602 Cimarron Plz Ste 340, Hastings, NE 68901-2895 | 2019-04-23 |
| 1912461476 | Hannah Noel Doyle | Chiropractor | 321 N Burlington Ave, Hastings, NE 68901-5034 | 2019-01-29 |
| 1407354996 | Clayton Howard Anderson | Chiropractor | 1300 Vermillion St Ste 3, Hastings, MN 55033-2862 | 2018-01-30 |
| 1073043170 | Ann Catherine Lohmann | Chiropractor | 1355 S Frontage Rd Ste 106, Hastings, MN 55033-2660 | 2017-06-13 |
| 1144579343 | Keith Alan Anderson | Chiropractor | 208 S Burlington Ave Ste 114, Hastings, NE 68901-5950 | 2012-09-04 |
| 1285949131 | Randall H. Norsby | Chiropractor | 218 5th St E, Hastings, MN 55033-1904 | 2010-08-16 |
| 1659685535 | Leo J. Lanning, Dc | Chiropractor | 400 W State St, Hastings, MI 49058-1640 | 2010-08-03 |
| 1780838409 | Darci Jurgens, Dc PC | Chiropractor | 238 N Lincoln Ave, Hastings, NE 68901-5148 | 2008-11-07 |
| 1851551246 | Murray Natural Health & Chiropractic LLC | Chiropractor | 1934 W 2nd St, Hastings, NE 68901-4732 | 2008-06-10 |
| Find all providers in HASTINGS | ||||
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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.