Michelle Kristine Reisinger, DC
Individual provider Active NPI Chiropractor · Byron, MN
NPI 1023188802 · NPPES record last updated Mar 12, 2009
Key facts
- NPI
- 1023188802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4613 (MN)
- Practice address
- 1067 4TH St NE
Suite 550
Byron, MN 55920-5002 - Phone
- (507) 775-2400
- Fax
- (507) 775-2401
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4613 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trillium Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
| Cich Chiropractic | Chiropractor | Past | Accepting new patients |
| In8 Family Chiropractic PA | Chiropractor | Past | Accepting new patients |
| Southside Chiropractic, P.a. | Chiropractor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4613 | MN | Yes |
Addresses
Primary practice location
1067 4TH St NE
Suite 550
Byron, MN 55920-5002
Mailing address
100 20TH St NW
Stewartville, MN 55976-1003
Phone (507) 533-4777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023188802 | Other | MN | MEDICARE-TYPE UNSPECIFIED |
| 1023188802 | Other | MN | BCBS |
| 1023188802 | Medicaid | MN |
Other providers in Byron, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.