| Lindstrom Chiropractic Center, P.a. | |
|
12099 Lake Blvd, Lindstrom, MN 55045-9322 | |
| (651) 257-1103 | |
| Not Available |
| Full Name | Lindstrom Chiropractic Center, P.a. |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12099 Lake Blvd, Lindstrom, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043548951 | NPI | - | NPPES |
| 0035908 | Other | MN | RAILROAD MEDICARE |
| 219825800 | Other | MN | MEDICAL ASSISTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 1473 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 5301 (Minnesota) | Primary |
| Provider Name | Robert D Waddell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1922167329 PECOS PAC ID: 4688700404 Enrollment ID: I20100331000925 |
| Provider Name | Robert D Waddell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033445218 PECOS PAC ID: 0547396368 Enrollment ID: I20100331000986 |
| Provider Name | Ryan William Waddell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1063800704 PECOS PAC ID: 8921326471 Enrollment ID: I20150413000981 |
| Provider Name | Anna Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841955192 PECOS PAC ID: 0941681050 Enrollment ID: I20220721000325 |
| Provider Name | Shannon A Mccarty |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992292437 PECOS PAC ID: 8426432097 Enrollment ID: I20220831000380 |
| Provider Name | Dylan M Teske |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1083351886 PECOS PAC ID: 0345624946 Enrollment ID: I20220831001598 |
| Mailing Address | Practice Location Address |
|---|---|
| Lindstrom Chiropractic Center, P.a. 12099 Lake Blvd, Lindstrom, MN 55045-9322 Ph: (651) 257-1103 | Lindstrom Chiropractic Center, P.a. 12099 Lake Blvd, Lindstrom, MN 55045-9322 Ph: (651) 257-1103 |
Dr. Eric Jon Gormanson, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 12818 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-2300 Fax: 651-257-2333 | |
Dr. Robert Donald Waddell Iii, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12099 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1103 Fax: 651-257-1552 | |
Lakes Area Chiropractic Clinic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-233-0594 | |
Lakes Area Chiropractic Clinic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-3900 Fax: 651-257-3932 | |
Kimberley M Johnson Dc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 12814 Lake Boulevard, Lindstrom, MN 55045 Phone: 651-257-3900 Fax: 651-257-3932 | |
Dr. Joseph Virga, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 12670 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1000 Fax: 651-257-1020 |