Mitteness Chiropractic Clinic
Organization Active NPI Chiropractor · Wheaton, MN
NPI 1104023860 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1104023860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 1696 (MN)
- Legal business name
- MITTENESS CHIROPRACTIC CLINIC
- Practice address
- 702 Highway 75 S
Wheaton, MN 56296-9415 - Phone
- (320) 563-4130
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
Authorized official
- Name
- Paul Mitteness
- Title
- Owner
- Phone
- (320) 563-4130
Practitioners 2
-
Paul M Mitteness, D.C.
-
Patrick Backman, DC
National Provider Directory
Locations
702 Highway 75 S
Wheaton, MN 56296
Phone (320) 563-4130
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 1696 | MN | Yes |
Addresses
Primary practice location
702 Highway 75 S
Wheaton, MN 56296-9415
Mailing address
702 Highway 75 S
Wheaton, MN 56296-9415
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3C935MI | Other | MN | BLUE CROSS BLUE SHIELD |
Other providers in Wheaton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.