CORRECTIVE CARE CHIROPRACTIC PC (NPI# 1417024050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417024050 |
| Entity Type | Organization |
| Organization Name | CORRECTIVE CARE CHIROPRACTIC PC |
| Practice Address |
922 125th Ln Ne Blaine MN 55434-3182 |
| Mailing Address |
922 125th Lane Nw Blaine MN 55434-3182 |
| Practice Telephone | 7637546303 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. BRADLEY KUEHL (OWNER) |
| Authorized Official Telephone | 7637550100 |
| Authorized Official Credential | D. C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4187 | MN | Chiropractic Providers |
| Street Address |
922 125TH LN NE |
| City | BLAINE |
| State | MN |
| Zip Code | 55434-3182 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467566901 | Bradley Kuehl | Chiropractor | 922 125th Ln Ne, Blaine, MN 55434-3182 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628591 | Rahul Farmah | Optometrist | 680 Hwy 10 Ne, Blaine, MN 55434 | 2020-08-08 |
| 1033770714 | Enduring Home Health Care Corp | Home Health | 10812 Fillmore Street, Blaine, MN 55434 | 2019-06-24 |
| 1932762408 | Vital Agency LLC | In Home Supportive Care | 12864 Fillmore Street Ne, Blaine, MN 55434 | 2019-04-19 |
| 1548751654 | Dustin Adam Kakach | Pharmacist | 600 County Hwy 10, Blaine, MN 55434 | 2018-05-24 |
| 1598253445 | Jacob James Apland | Behavioral Analyst | 12401 Oak Park Blvd Ne Apt 316, Blaine, MN 55434 | 2018-04-26 |
| 1962921924 | Mw Minnetonka Operating LLC | Assisted Living Facility | 1005 Paul Parkway Ne, Blaine, MN 55434 | 2017-09-11 |
| 1922526961 | Blaine Asc, LLC | Clinic/Center | 11225 Ulysses Street Northeast, Blaine, MN 55434 | 2017-08-30 |
| 1629591334 | Minnehaha Transportation Inc | Non-emergency Medical Transport (VAN) | 2507 Walnut St, Roseville, MN 55434 | 2017-07-25 |
| 1629590872 | Alexandra Staum Reif | Pediatrics | 11107 Ulysses Street Ne, Suite 100, Blaine, MN 55434 | 2017-07-10 |
| 1962939546 | Nicolette Gengel | Dentist | 1384 109th Ave Ne Ste 200, Blaine, MN 55434 | 2017-05-15 |
| Find all providers in zip 55434 | ||||
| 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 |
|---|---|---|---|---|
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1194197368 | Lund Health Professional Corporation | Chiropractor | 1360 101st Ave Ne, Suite 140, Blaine, MN 55449 | 2015-10-27 |
| 1154715787 | Lunzer Chiropractic LLC | Chiropractor | 1847 129th Ave Ne, Blaine, MN 55449-4970 | 2015-03-20 |
| 1093103764 | Christelle Vang | Chiropractor | 12157 Dunkirk St Ne, Blaine, MN 55449-7502 | 2015-01-05 |
| 1326436064 | Alycean Maryrae Bergh | Chiropractor | 10950 Club West Pkwy Ste 190, Blaine, MN 55449-5862 | 2015-01-05 |
| 1063800704 | Ryan William Waddell | Chiropractor | 10995 Club West Pkwy Ste 400, Blaine, MN 55449-5862 | 2015-01-05 |
| 1023381043 | Vaughn Chiropractic Pllc | Chiropractor | 10904 Baltimore St Ne, Ste 103, Blaine, MN 55449-5061 | 2012-02-22 |
| 1316217144 | Robert Lloyd Vaughn IIi | Chiropractor | 10904 Baltimore St Ne Ste 103, Blaine, MN 55449-5062 | 2012-01-10 |
| 1316244882 | Exodus Chiropractic, Pa | Chiropractor | 10950 Club West Pkwy, Suite 110, Blaine, MN 55449-4679 | 2011-02-18 |
| 1821233164 | Grant Alexander Redstone | Chiropractor | 1750 105th Avenue Ne, Blaine, MN 55449 | 2008-12-15 |
| Find all providers in BLAINE | ||||
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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.