| Lighthouse Chiropractic Cllinic, Pllc | |
|
2412 N.e. 27th Avenue, Grand Rapids, MN 55744-5793 | |
| (218) 326-1104 | |
| Not Available |
| Full Name | Lighthouse Chiropractic Cllinic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2412 N.e. 27th Avenue, Grand Rapids, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952744831 | NPI | - | NPPES |
| 281M0LI | Other | MN | BCBSM CONTRACTING PROVIDER |
| 456719600 | Other | MN | MDHS |
| CC10368 | Other | MN | CHIROPRACTIC CARE OF MN |
| 291M7NE | Other | MN | BCBSM INDIVIDUAL PROVIDER |
| 350003063 | Other | MN | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3659 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lighthouse Chiropractic Cllinic, Pllc 2412 N.e. 27th Avenue, Grand Rapids, MN 55744-5793 Ph: (218) 326-1104 | Lighthouse Chiropractic Cllinic, Pllc 2412 N.e. 27th Avenue, Grand Rapids, MN 55744-5793 Ph: (218) 326-1104 |
Grand Rapids Chiropractic Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2610 S Highway 169, Grand Rapids, MN 55744 Phone: 218-326-1030 Fax: 218-326-6927 | |
Dr. Ronald S Mcbride Sr., DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6 Ne 3rd St, Grand Rapids, MN 55744 Phone: 218-327-8939 Fax: 218-327-8933 | |
Mr. Gary Dean Wheelock, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 605 Nw 4th St, Grand Rapids, MN 55744 Phone: 218-326-2714 Fax: 218-326-2219 | |
Kelsey Margaret Perreault, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1891 E Highway 2, Grand Rapids, MN 55744 Phone: 218-326-0046 | |
Dr. Michael George Skorich, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2610 S Highway 169, Grand Rapids, MN 55744 Phone: 218-326-1030 Fax: 218-326-6927 | |
Kolby Robert Condos, D.C Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1200 S Pokegama Ave, Suite 120, Grand Rapids, MN 55744 Phone: 218-999-7006 | |
Timothy Raymond Graupmann, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: Grand Rapids Chiropractic 2610 S Hwy 169, Grand Rapids, MN 55744 Phone: 218-326-1030 Fax: 218-326-6927 |