DR. MICHAEL DAVID MORTENSON (NPI# 1700981230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700981230 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DAVID MORTENSON |
| Credential | DC DOCTOR OF CHIROPR |
| Practice Address |
801 Inman Street Henning MN 56551 |
| Mailing Address |
Po Box 134 801 Inman Street Henning MN 56551 |
| Practice Telephone | 2185482447 |
| Practice Fax Number | 2185482448 |
| Mailing Telephone | 2185482447 |
| Mailing Fax Number | 2185482448 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3941 | MN | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | CHIROCARE MEDICA | 616787 | 01 |
| MN | BCBS | 36D46HE | 01 |
| MN | BCBS | 36D45M0 | 01 |
| Street Address |
801 INMAN STREET |
| City | HENNING |
| State | MN |
| Zip Code | 56551 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871012104 | Patrick Dilly | Student in an Organized Health Care Education/Training Program | 209 Inman St., Henning, MN 56551 | 2017-09-19 |
| 1518289958 | Henning Chiropractic Clinic, P.a. | Chiropractor | 801 Inman St., Henning, MN 56551 | 2010-02-26 |
| 1821158643 | City of Henning | Ambulance | 607 2nd Street, Henning, MN 56551 | 2006-12-11 |
| 1174692032 | Jody Katharina Lohse | Assisted Living Facility | 609 Front Street, Henning, MN 56551 | 2006-11-07 |
| 1972597144 | Amy L Severson | Nurse Practitioner | 401 Douglas Ave, Tri-county Health Care - Henning Clinic, Henning, MN 56551 | 2005-09-02 |
| 1285868901 | Dylan G Folkestad | Family Medicine | 401 Douglas Ave, Tri-county Health Care Henning Clinic, Henning, MN 56551 | 2009-05-09 |
| 1891836409 | Jon Peter Wigert | Family Medicine | 401 Douglas Ave, Henning, MN 56551 | 2007-02-08 |
| 1841401197 | Michael R Berglund | Dentist | 404 Douglas Avenue, Henning, MN 56551-0337 | 2007-05-25 |
| 1992833198 | Seip Drug LLC | Pharmacy | 519 Douglas Ave, Henning, MN 56551-4000 | 2007-03-01 |
| 1871658062 | Otter Tail County | Local Education Agency (LEA) | 500 School Ave, Henning, MN 56551-4003 | 2006-12-27 |
| Find all providers in zip 56551 | ||||
| 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 |
|---|---|---|---|---|
| 1518289958 | Henning Chiropractic Clinic, P.a. | Chiropractor | 801 Inman St., Henning, MN 56551 | 2010-02-26 |
| 1578038048 | Healthy Balance Chiropractic, LLC | Chiropractor | 801 Inman St, Henning, MN 56551-4102 | 2018-10-10 |
| 1487972139 | Sara R Oscarson | Chiropractor | 801 Inman St, Henning, MN 56551-4102 | 2010-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477785 | Samantha Nielsen | Chiropractor | 482 Snelling Ave S, Saint Paul, MN 55116-1501 | 2020-11-04 |
| 1063013340 | Plymouth Chirocenter LLC | Chiropractor | 3900 Vinewood Ln N Ste 19, Plymouth, MN 55441-1155 | 2020-11-04 |
| 1093315855 | Today Evolved Ltd. | Chiropractor | 321 Broadway Ave, St Paul Park, MN 55071-1841 | 2020-10-29 |
| 1417556796 | Nicole Frogner Koshiol | Chiropractor | 11901 Highway 65 Ne, Blaine, MN 55434-3911 | 2020-10-19 |
| 1417554627 | Austin Montgomery Gray | Chiropractor | 4229 West Frontage Rd Nw, Suite 4, Rochester, MN 55901 | 2020-10-01 |
| 1659988848 | Amanda Shorter | Chiropractor | 669 Winnetka Ave N Ste 202, Golden Valley, MN 55427-4576 | 2020-09-30 |
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1316559024 | Lashonda Jung | Chiropractor | 8112 Minnetonka Blvd, St Louis Park, MN 55426-3022 | 2020-08-24 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1366051278 | Altrui Sc | Chiropractor | 11985 Technology Dr Ste 120, Eden Prairie, MN 55344-3614 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MICHAEL DAVID MORTENSON.
| 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.