| Fortin Health & Wellness Clinic, Pa | |
|
149 Hamel Road, Hamel, MN 55340 | |
| (763) 478-3978 | |
| (763) 478-3502 |
| Full Name | Fortin Health & Wellness Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 149 Hamel Road, Hamel, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396850558 | NPI | - | NPPES |
| 08154FO | Other | MN | GROUP/CLINIC |
| 081G5FO | Other | MN | BCBS INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4147 (Minnesota) | Primary |
| Provider Name | Brenda K Fortin |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1588777254 PECOS PAC ID: 7416936687 Enrollment ID: I20040720000620 |
| Mailing Address | Practice Location Address |
|---|---|
| Fortin Health & Wellness Clinic, Pa Po Box 271, Hamel, MN 55340-0271 Ph: (763) 478-3978 | Fortin Health & Wellness Clinic, Pa 149 Hamel Road, Hamel, MN 55340 Ph: (763) 478-3978 |
Dr. Marcus Ryan Moore, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Meander Ct, Hamel, MN 55340 Phone: 612-470-0635 | |
Dr. Brenda Karen Fortin, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 75 Hamel Rd, Hamel, MN 55340 Phone: 763-478-3978 Fax: 763-478-3502 | |
Sota Chiropractic Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 833 Meander Ct, Hamel, MN 55340 Phone: 612-470-0635 |