| Healthstar Chiropractic Center, P.a. | |
| 
					7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1959  | |
| (952) 974-2091 | |
| (952) 974-2296 | 
| Full Name | Healthstar Chiropractic Center, P.a. | 
|---|---|
| Type | Facility | 
| Speciality | Chiropractor | 
| Location | 7525 Mitchell Rd, Eden Prairie, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053432989 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 4188 (Minnesota) | Primary | 
| Provider Name | Brent Alexander Kvam | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1053395863 PECOS PAC ID: 8325947013 Enrollment ID: I20040106000144  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Healthstar Chiropractic Center, P.a. 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1959 Ph: (952) 974-2091  | Healthstar Chiropractic Center, P.a. 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344-1959 Ph: (952) 974-2091  | 
Dr. Stephen L. Marty, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6409 City West Pkwy Ste 105, Eden Prairie, MN 55344 Phone: 952-833-3038  | |
Well Chiropractic Chiropractor Medicare: Medicare Enrolled Practice Location: 966 Prairie Center Dr, Eden Prairie, MN 55344 Phone: 763-913-6156  | |
Dr. Jesse Ray Lillejord, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 800 Prairie Center Dr, Suite 200, Eden Prairie, MN 55344 Phone: 952-943-1188 Fax: 952-943-1177  | |
Ellis Performance & Injury Center Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6640 Shady Oak Rd Ste 325, Eden Prairie, MN 55344 Phone: 952-600-5329  | |
Eden Prairie Chiropractic Clinic Inc Chiropractor Medicare: Medicare Enrolled Practice Location: 7820 Terrey Pine Ct Ste 102, Eden Prairie, MN 55347 Phone: 952-937-1226  | |
Dr. Brent Alexander Kvam, D.C., Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7525 Mitchell Rd, Suite 300, Eden Prairie, MN 55344 Phone: 952-974-2091 Fax: 952-974-2296  |