Thomas Francis Schlavin Jr., D.C.

Individual provider Active NPI Chiropractor · Centerville, MN

NPI 1174658264 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1174658264
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
3587 (MN)
Practice address
1881 Main St
Centerville, MN 55038-9794
Phone
(651) 653-6699
Fax
(651) 407-2561
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3587MNMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3587 MN Yes

Addresses

Primary practice location

1881 Main St
Centerville, MN 55038-9794

Mailing address

1881 Main St
Centerville, MN 55038-9794
Phone (651) 653-6699

Other identifiers

IdentifierTypeStateIssuer
545S1SCOtherMNBLUE CROSS BLUE SHIELD

Other providers in Centerville, MN

All providers in Centerville, MN · Chiropractor in Minnesota

Sources for this page

Verify at the official NPI Registry.