| Vaagenes Chiropractic, LLC | |
|
470 Highway 96 W Suite 160 Shoreview MN 55126-1996 | |
| (651) 415-0446 | |
| (651) 415-0447 |
| Full Name | Vaagenes Chiropractic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 470 Highway 96 W, Shoreview, Minnesota |
| Authorized Official Name and Position | Timothy Jon Vaagenes (OWNER) |
| Authorized Official Contact | 6514150446 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vaagenes Chiropractic, LLC 2508 Highway 70 Po Box 385 Braham MN 55006-3759 Ph: (651) 415-0446 | Vaagenes Chiropractic, LLC 470 Highway 96 W Suite 160 Shoreview MN 55126-1996 Ph: (651) 415-0446 |
| NPI Number | 1669811295 |
|---|---|
| Provider Enumeration Date | 06/17/2013 |
| Last Update Date | 06/25/2013 |
| Medicare PECOS PAC ID | 3971742826 |
|---|---|
| Medicare Enrollment ID | O20130625000637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669811295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 3144 (Minnesota) | Primary |
| Provider Name | Timothy J Vaagenes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376697102 PECOS PAC ID: 1658277132 Enrollment ID: I20031208000679 |
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Allina Health Shoreview Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4194 Lexington Ave N, Shoreview, MN 55126 Phone: 651-483-5461 Fax: 651-483-2215 |
Minnhealth - Shoreview Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Highway 96 W, Shoreview, MN 55126 Phone: 651-483-8283 Fax: 651-483-8299 |
Preferred Chiropractic Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3570 Lexington Ave N, #208, Shoreview, MN 55126 Phone: 651-481-1488 Fax: 651-481-8051 |
Minnesota Vitality and Anti-aging Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 Highway 96 W Ste 200, Shoreview, MN 55126 Phone: 651-374-4014 Fax: 651-374-4019 |