| Chiropractic Sport & Spinal Rehab Pa | |
|
201 Lake St Nw, Suite G, Warroad, MN 56763-2116 | |
| (218) 386-1930 | |
| (218) 386-1921 |
| Full Name | Chiropractic Sport & Spinal Rehab Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 201 Lake St Nw, Warroad, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316989817 | NPI | - | NPPES |
| 420M4CH | Other | MN | BCBS OF MN |
| 485263000 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3705 (Minnesota) | Primary |
| Provider Name | Lyle R Erickson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1700882719 PECOS PAC ID: 3476458605 Enrollment ID: I20031202000039 |
| Provider Name | Sierra Hanowski |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1003562794 PECOS PAC ID: 4284169988 Enrollment ID: I20241118003683 |
| Mailing Address | Practice Location Address |
|---|---|
| Chiropractic Sport & Spinal Rehab Pa 201 Lake St Nw, Suite G, Po Box 930, Warroad, MN 56763-2116 Ph: (218) 386-1930 | Chiropractic Sport & Spinal Rehab Pa 201 Lake St Nw, Suite G, Warroad, MN 56763-2116 Ph: (218) 386-1930 |
Warroad Chiropractic Clinic, P.a. Chiropractor Medicare: Medicare Enrolled Practice Location: 203 State Ave Sw, Warroad, MN 56763 Phone: 218-386-3112 Fax: 218-386-2028 | |
Mr. David Alan Verworn, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 203 State Ave S, Warroad, MN 56763 Phone: 218-386-3112 Fax: 218-386-2028 | |
Dr. Lyle Richard Erickson, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 201 Lake St Nw, Suite G,, Warroad, MN 56763 Phone: 218-386-1930 Fax: 218-386-1921 |