| Sota Chiropractic Llc | |
|
833 Meander Ct, Hamel, MN 55340-4549 | |
| (612) 470-0635 | |
| Not Available |
| Full Name | Sota Chiropractic Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 833 Meander Ct, 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 |
|---|---|---|---|
| 1922733500 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Marcus Ryan Moore |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1487309118 PECOS PAC ID: 3577959543 Enrollment ID: I20220331001807 |
| Mailing Address | Practice Location Address |
|---|---|
| Sota Chiropractic Llc 833 Meander Ct, Hamel, MN 55340-4549 Ph: (612) 470-0635 | Sota Chiropractic Llc 833 Meander Ct, Hamel, MN 55340-4549 Ph: (612) 470-0635 |
Fortin Health & Wellness Clinic, Pa Chiropractor Medicare: Medicare Enrolled Practice Location: 149 Hamel Road, Hamel, MN 55340 Phone: 763-478-3978 Fax: 763-478-3502 | |
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 |