person
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. You can also correspond with Jason Michael Fredericks through the mailing address at 8200 HUMBOLDT AVE S, BLOOMINGTON, MN - 55431-1432 (mailing address contact number: 612-386-0333).

Location: 8200 Humboldt Ave S Ste 204, Bloomington, MN, 55431-1432
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
State
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
State
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
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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