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Dr. Jennifer Elyse Pedersen, DC
Chiropractor in Detroit Lakes, Minnesota
NPI 1689759383

Jennifer Elyse Pedersen is a Chiropractor based in Detroit Lakes, MN. Jennifer Elyse Pedersen practices in Detroit Lakes, MN and has the professional credentials of DC. The NPI Number for Jennifer Elyse Pedersen is 1689759383 and holds a License No. 575 (Minnesota).

The current practice location address for Jennifer Elyse Pedersen is 1131 Jackson Ave, Detroit Lakes, MN and can be reached out via phone at 218-844-5050 and via fax at 218-844-5049.

Location: 1131 Jackson Ave, Detroit Lakes, MN, 56501-3618
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689759383
Provider Name
Jennifer Elyse Pedersen
Credential
DC
Provider Entity Type
Individual
Gender
Female
Address
1131 Jackson Ave, Detroit Lakes, MN, 56501-3618
Phone Number
218-844-5050
Fax Number
218-844-5049
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
020960100 05 MN
242T6NO 01 CLINIC #
350002650 01 MEDICARE PROVIDER #
134208196 01 EMPLOYER # FED #
4079 01 LICENSE #
0908 01 HSM
242T7PE 01 BCBS PROVIDER #
89749 01 HEALTH PARTNERS
647163 01 CHIROCARE #
P00229402 01 RAILROAD
020960100 01 MHCP HEALTH CARE
575 01 ACCUPUNCTURE #
institution
Provider Business Practice Location Address Details
Address
1131 Jackson Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3618
Phone Number
218-844-5050
Fax Number
218-844-5049
person
Provider Business Mailing Address Details
Address
1131 Jackson Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3618
Phone Number
218-844-5050
Fax Number
218-844-5049
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
4079 (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.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Acupuncturist
Speciality
-
Taxonomy
171100000X
License No.
575 (Minnesota)
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
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