Swoboda Chiropractic of Lakefield
Organization Active NPI Chiropractor · Lakefield, MN
NPI 1114089877 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114089877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2685 (MN)
- Legal business name
- SWOBODA CHIROPRACTIC OF LAKEFIELD
- Practice address
- 221 Third Ave N
Lakefield, MN 56150-0758 - Phone
- (507) 662-5176
- Fax
- (507) 662-5178
- NPI assigned
- Dec 15, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Barbara J Swoboda, DO
- Title
- Owner
- Phone
- (507) 662-5176
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080111000493 | MN | Part B Supplier - Clinic/Group Practice | 6709967185 |
Receives reassigned benefits from 1 practitioner Practice locations: Lakefield, MN |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2685 | MN | Yes |
Addresses
Primary practice location
221 Third Ave N
Lakefield, MN 56150-0758
Mailing address
221 Third Ave N
PO Box 758
Lakefield, MN 56150-0758
Phone (507) 662-5176
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27826 | Other | FM | SIOUX VALLEY HEALTH PARTN |
| 36B24LA | Other | MN | BCBS OF MN |
| 36B25SW | Other | MN | BCBS OFFICE |
Other providers in Lakefield, 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.
- 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.