| Devich Chiropractic Center Pa | |
|
1510 8th St S Virginia MN 55792-3346 | |
| (218) 741-4010 | |
| (218) 741-0118 |
| Full Name | Devich Chiropractic Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1510 8th St S, Virginia, Minnesota |
| Authorized Official Name and Position | Nicholas Steven Devich (PRESIDENT) |
| Authorized Official Contact | 2187414010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Devich Chiropractic Center Pa 1510 8th St S Virginia MN 55792-3346 Ph: (218) 741-4010 | Devich Chiropractic Center Pa 1510 8th St S Virginia MN 55792-3346 Ph: (218) 741-4010 |
| NPI Number | 1417231440 |
|---|---|
| Provider Enumeration Date | 10/10/2011 |
| Last Update Date | 10/10/2011 |
| Medicare PECOS PAC ID | 9133394125 |
|---|---|
| Medicare Enrollment ID | O20111201000695 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417231440 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4971044 (Minnesota) | Primary |
| Provider Name | Nicholas S Devich |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1093891855 PECOS PAC ID: 4486829470 Enrollment ID: I20111201000733 |
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