| Legacy Chiropractic And Wellness Pllc | |
|
1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 | |
| (218) 236-1187 | |
| (218) 236-8514 |
| Full Name | Legacy Chiropractic And Wellness Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1675 Center Ave W, Dilworth, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285178301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6294 (Minnesota) | Primary |
| Provider Name | Broderick J Schmidt |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780128132 PECOS PAC ID: 7315221116 Enrollment ID: I20170221001971 |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Chiropractic And Wellness Pllc 1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 Ph: (218) 236-1187 | Legacy Chiropractic And Wellness Pllc 1675 Center Ave W, Suite B, Dilworth, MN 56529-1346 Ph: (218) 236-1187 |
Dr. Broderick Schmidt, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1675 Center Ave W, Suite B, Dilworth, MN 56529 Phone: 218-236-1187 Fax: 218-236-8514 | |
David James Kreps, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1675 Highway 10 West, Suite B, Dilworth, MN 56529 Phone: 218-236-1187 Fax: 218-236-8514 |