LAKES COUNTRY CHIROPRACTIC P.A. (NPI# 1952683708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952683708 |
Entity Type | Organization |
Organization Name | LAKES COUNTRY CHIROPRACTIC P.A. |
Practice Address |
157 1st Ave S Perham MN 56573-1701 |
Mailing Address |
10213 Sherbrooke Beach Ln Pelican Rapids MN 56572-9332 |
Practice Telephone | 2183463560 |
Mailing Telephone | 4144126322 |
Enumeration Date | 2011-09-16 |
Last Update Date | 2011-09-16 |
Authorized Official Name | VICTORIA LYNN TATRO (PRESIDENT) |
Authorized Official Telephone | 4144126322 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5473 | MN | Chiropractic Providers |
Street Address |
157 1ST AVE S |
City | PERHAM |
State | MN |
Zip Code | 56573-1701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427108042 | Steven J Wendt | Chiropractor | 157 1st Ave S, Perham, MN 56573-1701 | 2007-01-12 |
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 |
1821295106 | Cheryl Lee Deboer | Chiropractor | 1000 Coney St W, Perham, MN 56573-2102 | 2007-06-29 |
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.