AFTON CHIROPRACTIC CLINIC PA (NPI# 1306040381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306040381 |
| Entity Type | Organization |
| Organization Name | AFTON CHIROPRACTIC CLINIC PA |
| Practice Address |
44 Saint Croix Trl S Suite 200 Lakeland MN 55043-8404 |
| Practice Telephone | 6514367757 |
| Mailing Telephone | 6514367757 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2013-09-05 |
| Authorized Official Name | TAMIE Q CAULDER (PRESIDENT) |
| Authorized Official Telephone | 6514367757 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | Other Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | BADGERCARE | 38963000 | 01 |
| MN | 200967600 | 05 | |
| WI | BADGERCARE | 38962900 | 01 |
| MN | BCBS | 98D84QU | 01 |
| MN | 618323900 | 05 | |
| MN | BCBS | 97G19CA | 01 |
| Street Address |
44 SAINT CROIX TRL S SUITE 200 |
| City | LAKELAND |
| State | MN |
| Zip Code | 55043-8404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730278276 | Tamara Quinlan Caulder | Chiropractor | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2006-10-12 |
| 1932547692 | Robin Lee Fate | Counselor | 44 Saint Croix Trl S, St. Croix Business Center, Suite 155, Lakeland, MN 55043-8404 | 2013-06-04 |
| 1912169087 | Afton Chiropractic Clinic | Chiropractor | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2008-06-30 |
| 1639349343 | Catherine C Olson | Social Worker | 44 Saint Croix Trl S, #155, Lakeland, MN 55043-9664 | 2008-03-10 |
| 1881783314 | Jodie Lea Eian | Chiropractor | 44 Saint Croix Trl S, Suite 200, Lakeland, MN 55043-8404 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750854741 | Debra Sue Chmieleski | Counselor | 16383 Upper 22 Nd Street South, St. Croix Beach, MN 55043 | 2019-01-02 |
| 1306096433 | David Duane Millard | Physical Therapist | 16051 Quality Court, Lakeland, MN 55043 | 2008-09-25 |
| 1174795009 | Adena LLC | Home Health | 78 St. Croix Trail S, Suite 120, Lakeland, MN 55043 | 2008-04-01 |
| 1265499743 | John Edward Sweeney | Dentist | 44 South St Croix Trail, Suite 100, Lakeland, MN 55043 | 2006-04-27 |
| 1225200439 | Daniel D Porter | Chiropractor | 326 Saint Croix Trail South, Lakeland, MN 55043-0294 | 2008-03-27 |
| 1629208558 | John Burton Young Jr. | Otolaryngology | 2787 Itasca Ave., St. Mary's Pt., MN 55043-0325 | 2009-07-27 |
| 1811025158 | Lower St Croix Valley Fire Protection District | Ambulance | 1520 Saint Croix Trl S, Lakeland, MN 55043-9311 | 2007-02-28 |
| 1164489654 | Marcus Michael Gustafson | Dentist | 16678 7th St S, Lakeland, MN 55043-9531 | 2006-04-27 |
| 1427031152 | Mark C. Reps | Chiropractor | 16470 5th St N, Lakeland, MN 55043-9548 | 2005-11-28 |
| 1144567546 | St Croix Psychiatric Services, Pllc | Nurse Practitioner | 700 Quality Ln N, Lakeland, MN 55043-9624 | 2013-01-07 |
| Find all providers in zip 55043 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652878 | Trinity Medical Physicians LLC | Chiropractor | 3240 S Florida Ave Ste 100, Lakeland, FL 33803-4574 | 2020-05-29 |
| 1558982629 | Valerie Michelle Roseland | Chiropractor | 1509 S Florida Ave, Lakeland, FL 33803-2258 | 2020-04-30 |
| 1619440112 | Justin Michael Harris | Chiropractor | 2014 E County Road 540a, Lakeland, FL 33813-3739 | 2019-01-07 |
| 1669976171 | Sunshine State Chiropractic LLC | Chiropractor | 2953 Duff Rd, Lakeland, FL 33810-2188 | 2018-03-20 |
| 1609381110 | Joshua Chase Fish | Chiropractor | 8950 Us Highway 64 Ste 104, Lakeland, TN 38002-4566 | 2017-12-06 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1003270307 | Nancy M Bertelmann | Chiropractor | 308 W Highland Dr, Lakeland, FL 33813-1543 | 2016-04-12 |
| 1467841544 | Dr Ransford Robinson LLC | Chiropractor | 2161 E County Road 540a, #156, Lakeland, FL 33813-3794 | 2015-01-13 |
| 1700288644 | South Lakeland Chiropractic Center | Chiropractor | 201 W Christina Blvd Ste 1, Lakeland, FL 33813-9812 | 2014-09-23 |
| 1326449588 | Christopher Ryan Barker | Chiropractor | 780 Small Oak Ln Apt 103, Lakeland, FL 33805-2360 | 2014-09-08 |
| Find all providers in LAKELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.