Active NPI
Lee Fixen, D.C.
- Chiropractor
- Marshall, MN
National Provider Identifier
1083903918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6626
- Practice address
- 104 W Redwood St
Marshall, MN 56258-1980 - Phone
- (507) 532-2655
- Fax
- (507) 532-2951
- NPI assigned
- Mar 31, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038011683 | IL | |
| Chiropractor | 111N00000X | 6626 | MN | Primary |
Addresses
Primary practice location
104 W Redwood St
Marshall, MN 56258-1980
Mailing address
104 W Redwood St
Marshall, MN 56258-1980
Phone (507) 532-2655
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038011683 | IL | MD | Chiropractor |
| 6626 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559520000000",
"number": "1083903918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 W REDWOOD ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581980",
"telephone_number": "507-532-2655",
"fax_number": "507-532-2951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 W REDWOOD ST",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562581980",
"telephone_number": "507-532-2655",
"fax_number": "507-532-2951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIXEN",
"first_name": "LEE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-31",
"last_updated": "2019-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038011683",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.