Carlson Chiropractic Health and Healing Inc.
Organization Active NPI Chiropractor · Maple Plain, MN
NPI 1083747711 · NPPES record last updated Jun 25, 2015
Key facts
- NPI
- 1083747711
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- MN4108 (MN)
- Legal business name
- CARLSON CHIROPRACTIC HEALTH AND HEALING INC.
- Practice address
- 4960 Highway 12
Maple Plain, MN 55359-8729 - Phone
- (763) 479-3388
- Fax
- (763) 479-3388
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Benjamin Carlson, D.C.
- Title
- Doctor of Chiropractic
- Phone
- (763) 479-3388
Practitioners 57
-
Benjamin James Carlson, D.C.
-
Jane K Anderson, CNP
-
Sandra Anderson, PA
-
Louise M Arlien, CNP
-
Gail Papermaster Bender, M.D.
-
Jo M Berger, MD
-
Deborah Burns, CNP
-
Henry M Dvorak, MD
-
Alicia Anne Frankwitz, D.O.
-
Sarah A Freitas, M.D.
-
Brian A Henjum, MD
-
Tanya K Henke-Le, MD
-
James Erik Johanson, M.D.
-
Daniel Keeley, MD
-
Sabina Khan, MD
-
John W Larsen, M.D.
-
Larry A Mathison, MD
-
John W Meccia, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050610000103 | MN | Part B Supplier - Clinic/Group Practice | 2264475243 |
Receives reassigned benefits from 1 practitioner Practice locations: Maple Plain, MN |
National Provider Directory
Locations
4960 Highway 12
Maple Plain, MN 55359
Phone (763) 479-3388
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | MN4108 | MN | Yes |
Addresses
Primary practice location
4960 Highway 12
Maple Plain, MN 55359-8729
Mailing address
4960 Highway 12
Maple Plain, MN 55359-8729
Phone (763) 479-3388
Other providers in Maple Plain, MN
- Laura Bodurtha
- Ryan Andrei Boyko
- Benjamin James Carlson
- Nancy L Carlson
- Nicholas G Carlson
- Jessie Doughty
- Eyes Unlimited, Inc.
All providers in Maple Plain, MN · Chiropractor in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.