| Ray Chiropractic Pa | |
|
418 Demers Ave, East Grand Forks, MN 56721-1836 | |
| (218) 773-8403 | |
| (218) 773-9812 |
| Full Name | Ray Chiropractic Pa |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 418 Demers Ave, East Grand Forks, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811076086 | NPI | - | NPPES |
| 89332 | Other | MN | CHIRO CARE |
| 71D82RA | Other | MN | BCBS MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3582 (Minnesota) | Primary |
| Provider Name | Shanon R Ray |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1164603833 PECOS PAC ID: 5395835987 Enrollment ID: I20071219000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Ray Chiropractic Pa 418 Demers Ave, East Grand Forks, MN 56721-1836 Ph: (218) 773-8403 | Ray Chiropractic Pa 418 Demers Ave, East Grand Forks, MN 56721-1836 Ph: (218) 773-8403 |
Dr. Shanon Robert Ray, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 418 Demers Ave, East Grand Forks, MN 56721 Phone: 218-773-8403 Fax: 218-773-9812 | |
Local Roots Chiropractic Pllc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1406 Central Ave Ne, East Grand Forks, MN 56721 Phone: 701-335-6373 |