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Bass Lake Chiropractic Clinic, P.a.
Chiropractor in Crystal, Minnesota
NPI 1487747226

Bass Lake Chiropractic Clinic, P.a. is a Chiropractor based in Crystal, MN. Bass Lake Chiropractic Clinic, P.a. practices in Crystal, MN. The NPI Number for Bass Lake Chiropractic Clinic, P.a. is 1487747226 and holds a License No. DC4020 (Minnesota).

The current practice location address for Bass Lake Chiropractic Clinic, P.a. is 5640 W Broadway Ave, Crystal, MN and can be reached out via phone at 763-537-8070 and via fax at 763-537-9513.

Location: 5640 W Broadway Ave, Crystal, MN, 55428-3556
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487747226
Provider Name
Bass Lake Chiropractic Clinic, P.a.
Credential
Provider Entity Type
Organization
Address
5640 W Broadway Ave, Crystal, MN, 55428-3556
Phone Number
763-537-8070
Fax Number
763-537-9513
Provider Enumeration Date
10/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4C416HU 01 MN BCBS GROUP ID #
institution
Provider Business Practice Location Address Details
Address
5640 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3556
Phone Number
763-537-8070
Fax Number
763-537-9513
person
Provider Business Mailing Address Details
Address
5640 W Broadway Ave
City
Crystal
State
Minnesota
Zip
55428-3556
Phone Number
763-537-8070
Fax Number
763-537-9513
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
DC4020 (Minnesota)
Definition
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.
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