CHERYL LEE DEBOER (NPI# 1821295106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821295106 |
| Entity Type | Individual |
| Full Name | CHERYL LEE DEBOER |
| Credential | DC |
| Practice Address |
1000 Coney St W Perham MN 56573-2102 |
| Practice Telephone | 2183474500 |
| Practice Fax Number | 2183471592 |
| Mailing Telephone | 2183474500 |
| Mailing Fax Number | 2183471592 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC4047 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 332875900 | 05 |
| Street Address |
1000 CONEY ST W |
| City | PERHAM |
| State | MN |
| Zip Code | 56573-2102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982913505 | Illene T Reed | Family Medicine | 1000 Coney St W, Perham, MN 56573-2102 | 2006-05-05 |
| 1174001648 | Jodie Trites | Pharmacist | 1000 Coney St W, Perham, MN 56573-2102 | 2018-08-06 |
| 1649774670 | Colleen Ann Bauck | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2018-03-23 |
| 1770090094 | Amanda Carol Houghtaling | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2018-01-08 |
| 1467971572 | Rose Marie Mader | Registered Nurse | 1000 Coney St W, Perham, MN 56573-2102 | 2017-09-11 |
| 1134656994 | Matthew David Haugen | Family Medicine | 1000 Coney St W, Perham, MN 56573-2102 | 2017-05-11 |
| 1720521818 | Shannon Marie Guck | Physician Assistant | 1000 Coney St W, Perham, MN 56573-2102 | 2016-11-22 |
| 1962854646 | Rayna Bergseth | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2016-07-06 |
| 1821403635 | Kevin Dale Swenson | Physician Assistant | 1000 Coney St W, Perham, MN 56573-2102 | 2014-07-01 |
| 1972918472 | Melinda Kay Anderson | Nurse Practitioner | 1000 Coney St W, Perham, MN 56573-2102 | 2014-06-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558630012 | Perham Hospital District | Durable Medical Equipment & Medical Supplies | 1000 Coney Street West, Perham, MN 56573 | 2011-12-29 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1578572202 | Michael L Hamann | Dentist | 200 1st Ave S, Perham, MN 56573 | 2006-08-05 |
| 1033133517 | Timothy Charles Neitzke | Optometrist | 340 Fox St, Perham, MN 56573 | 2006-07-27 |
| 1023063757 | Shopko Stores Operating Co LLC | Pharmacy | 300 Jake St, Perham, MN 56573 | 2006-05-23 |
| 1164917233 | Katlin Larson | Behavior Technician | 735 3rd St Sw, Perham, MN 56573 | 2018-06-29 |
| 1104029347 | Tammy L Sturdevant | Dentist | 335 4th Ave, Perham, MN 56573 | 2007-06-06 |
| 1861610131 | Minnesota Eyecare Network Inc. | Eyewear Supplier (Equipment, not the service) | 340 Fox Street, Perham, MN 56573 | 2007-04-23 |
| Find all providers in zip 56573 | ||||
| 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 |
|---|---|---|---|---|
| 1427108042 | Steven J Wendt | Chiropractor | 157 1st Ave S, Perham, MN 56573-1701 | 2007-01-12 |
| 1730239385 | Dr. Kelvin K. Salathe, P.C. | Chiropractor | 101 West Coney St, Perham, MN 56573 | 2007-01-12 |
| 1124106299 | Langen Family Chiropractic, P.a. | Chiropractor | 108 Market Dr., Perham, MN 56573 | 2006-11-02 |
| 1285710335 | James Odin Langen | Chiropractor | 108 Market Drive, Perham, MN 56573 | 2006-10-31 |
| 1225066822 | Kelvin K Salathe | Chiropractor | 101 Coney St W, Perham, MN 56573-2117 | 2006-06-30 |
| 1841703014 | Aim Chiropractic PC | Chiropractor | 101 Coney St W, Perham, MN 56573-2117 | 2017-11-10 |
| 1750774204 | Carissa Marie Mitchell | Chiropractor | 101 Coney St W, Perham, MN 56573-2117 | 2015-03-09 |
| 1164815577 | Nicholas Michael Mitchell | Chiropractor | 101 Coney St W, Perham, MN 56573-2117 | 2015-03-09 |
| 1952683708 | Lakes Country Chiropractic P.a. | Chiropractor | 157 1st Ave S, Perham, MN 56573-1701 | 2011-09-16 |
| 1366547069 | Vincent W Pankonin | Chiropractor | 1000 Coney St W, Perham, MN 56573-2102 | 2006-09-14 |
| Find all providers in PERHAM | ||||
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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.