| Virga Chiropractic Clinic Pa | |
|
12670 Lake Blvd, Lindstrom, MN 55045-0482 | |
| (651) 257-1000 | |
| (651) 257-1020 |
| Full Name | Virga Chiropractic Clinic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 12670 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 |
|---|---|---|---|
| 1538215462 | NPI | - | NPPES |
| 202790900 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2686 (Minnesota) | Secondary |
| 111N00000X | Chiropractor | 2700 (Minnesota) | Primary |
| Provider Name | Joseph Virga |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1508959164 PECOS PAC ID: 4486837697 Enrollment ID: I20110325000407 |
| Provider Name | Kathleen M Virga |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881780732 PECOS PAC ID: 6204019417 Enrollment ID: I20110325000435 |
| Mailing Address | Practice Location Address |
|---|---|
| Virga Chiropractic Clinic Pa 12670 Lake Blvd Po Box 482, Lindstrom, MN 55045-0482 Ph: (651) 257-1000 | Virga Chiropractic Clinic Pa 12670 Lake Blvd, Lindstrom, MN 55045-0482 Ph: (651) 257-1000 |
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 | |
Lindstrom Chiropractic Center, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 12099 Lake Blvd, Lindstrom, MN 55045 Phone: 651-257-1103 | |
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 |