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Dr. Jason Michael Fredericks, DC
Chiropractor in Bloomington, Minnesota
NPI 1669689295

Jason Michael Fredericks is a Chiropractor based in Bloomington, MN. Jason Michael Fredericks practices in Bloomington, MN and has the professional credentials of DC. The NPI Number for Jason Michael Fredericks is 1669689295 and holds a License No. 3651 (Minnesota).

The current practice location address for Jason Michael Fredericks is 8200 Humboldt Ave S Ste 204, Bloomington, MN and can be reached out via phone at 952-884-6144 and via fax at 952-884-9180.

Location: 8200 Humboldt Ave S Ste 204, Bloomington, MN, 55431-1432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669689295
Provider Name
Jason Michael Fredericks
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
8200 Humboldt Ave S Ste 204, Bloomington, MN, 55431-1432
Phone Number
952-884-6144
Fax Number
952-884-9180
Provider Enumeration Date
05/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5328276-00 05 MN
institution
Provider Business Practice Location Address Details
Address
8200 Humboldt Ave S Ste 204
City
Bloomington
State
Minnesota
Zip
55431-1432
Phone Number
952-884-6144
Fax Number
952-884-9180
person
Provider Business Mailing Address Details
Address
8200 Humboldt Ave S Ste 204
City
Bloomington
State
Minnesota
Zip
55431-1432
Phone Number
952-884-6144
Fax Number
952-884-9180
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
3651 (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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