DR. SEAN MITCHELL KOLODJI (NPI# 1861528846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861528846 |
| Entity Type | Individual |
| Full Name | DR. SEAN MITCHELL KOLODJI |
| Credential | D.C. |
| Practice Address |
1632 Bemidji Ave N Ste 1 Bemidji MN 56601-3870 |
| Practice Telephone | 2184449918 |
| Practice Fax Number | 2184449784 |
| Mailing Telephone | 2184449918 |
| Mailing Fax Number | 2184449784 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4422 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 410660100 | 05 |
| Street Address |
1632 BEMIDJI AVE N STE 1 |
| City | BEMIDJI |
| State | MN |
| Zip Code | 56601-3870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336772425 | Northern Minnesota Addiction Wellness Center | Substance Abuse Rehabilitation Facility | 4851 Stacy Ann Dr Nw, Bemidji, MN 56601 | 2020-02-17 |
| 1366093841 | Vickie Lynn Matthews | Technician | 1018 Miles Ave Se, Bemidji, MN 56601 | 2019-09-25 |
| 1518443530 | Lindsey Marie Whiting | Registered Nurse | 1300 Anne St, Bemidji, MN 56601 | 2018-07-12 |
| 1801257662 | Meghan Zigrida Paquette | Registered Nurse | 6055 161st Street Nw, Cass Lake, MN 56601 | 2016-03-08 |
| 1144686106 | Northwest Indian Oic | Home Health | 1819 Bemidji Ave N Ste 1, Bemidji, MN 56601 | 2016-01-06 |
| 1831560424 | Laura Hansen, Msw, Licsw Counseling Services, Inc. | Social Worker | 403 4th Street Ne, Suite 110, Bemidji, MN 56601 | 2015-10-08 |
| 1679949028 | Grand St. Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 2312 Bemidji Ave North, Bemidji, MN 56601 | 2015-08-19 |
| 1255717617 | Mary S. Salter, Md Psc | Internal Medicine | 514 Beltrami Ave Nw Suite 102, Bemidji, MN 56601 | 2015-08-07 |
| 1225420615 | Cristin Evans | Counselor | 403 4th Street, Suite 300, Bemidji, MN 56601 | 2015-02-23 |
| 1619367919 | Angela Krom Fournier | Psychologist | 16150 Golden Eagle Court Nw, Eagle Vista Equine Center Inc., Bemidji, MN 56601 | 2015-01-26 |
| Find all providers in zip 56601 | ||||
| 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 |
|---|---|---|---|---|
| 1821499864 | Headwaters Chiropractic Center LLC | Chiropractor | 1426 Bemidji Ave N, Suite 2, Bemidji, MN 56601 | 2014-09-09 |
| 1043578560 | Walker Family Chiropractic P.s.c. | Chiropractor | 156 Kenwood Cir Ne, Bemidji, MN 56601-5730 | 2012-05-03 |
| 1487920989 | Jenna Mahs | Chiropractor | 705 Washington Ave S, Bemidji, MN 56601-4838 | 2012-03-28 |
| 1962774158 | Lakeview Health and Wellness Pllc | Chiropractor | 118 Paul Bunyan Dr S, Bemidji, MN 56601-3236 | 2012-02-02 |
| 1457661209 | Stember Chiropractic PC | Chiropractor | 1409 Bemidji Ave N, Bemidji, MN 56601-3813 | 2010-10-14 |
| 1164695078 | Seth David Tyberg | Chiropractor | 4228 Power Dr Nw, Bemidji, MN 56601-5102 | 2008-04-11 |
| 1922207091 | Edlund Chiropractic | Chiropractor | 140 Paul Bunyan Dr Nw, Bemidji, MN 56601-2440 | 2007-07-17 |
| 1417085291 | Michael Wayne Headlee | Chiropractor | 1426 Bemidji Ave N Ste 2, Bemidji, MN 56601-3882 | 2007-03-01 |
| 1891842589 | Matthew John Henriksen | Chiropractor | 5184 Theater Lane Nw, Bemidji, MN 56601 | 2007-01-04 |
| 1952471633 | Randall Wayne Lish | Chiropractor | 3315 Bemidji Ave N, Bemidji, MN 56601-4330 | 2006-11-09 |
| Find all providers in BEMIDJI | ||||
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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.