| Healing Choices Llc | |
|
200 5th St Nw Elk River MN 55330-1917 | |
| (763) 241-5436 | |
| Not Available |
| Full Name | Healing Choices Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 200 5th St Nw, Elk River, Minnesota |
| Authorized Official Name and Position | John William Larson (OWNER) |
| Authorized Official Contact | 7632415436 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Choices Llc 18140 Zane St Nw # 303 Elk River MN 55330-4505 Ph: (763) 241-5436 | Healing Choices Llc 200 5th St Nw Elk River MN 55330-1917 Ph: (763) 241-5436 |
| NPI Number | 1275705758 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 04/13/2018 |
| Medicare PECOS PAC ID | 8123382181 |
|---|---|
| Medicare Enrollment ID | O20180430000776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275705758 | NPI | - | NPPES |
| 407660000 | Medicaid | MN | |
| C03743 | Other | MN | MEDICARE LEGACY |
| DG5136 | Other | GA | RAILROAD MEDICARE |
| 132M0HE | Other | MN | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3500 (Minnesota) | Primary |
| Provider Name | John W Larson |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285642975 PECOS PAC ID: 9830155324 Enrollment ID: I20041207000251 |
| Provider Name | Jennifer K Dahlseid |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1144715236 PECOS PAC ID: 1254684327 Enrollment ID: I20181019002231 |
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