Organization Active NPI

Lake Region Family Chiropractic Clinic

  • Chiropractor
  • Alexandria, MN
National Provider Identifier
1194804708
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE REGION FAMILY CHIROPRACTIC CLINIC
Practice address
614 Hawthorne St
Alexandria, MN 56308-1661
Phone
(320) 762-2309
Fax
(320) 762-2300
NPI assigned
Nov 3, 2006
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bjorn Hurlen, D.C.NPI 1952492423
Title
Chiropractor
Phone
(320) 762-2309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

614 Hawthorne St
Alexandria, MN 56308-1661

Mailing address

614 Hawthorne St
Alexandria, MN 56308-1661
Phone (320) 762-2309

National Provider Directory

National Provider Directory

Locations

614 Hawthorne St
Alexandria, MN 56308
Phone (320) 762-2309

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1194804708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081661",
            "telephone_number": "320-762-2309",
            "fax_number": "320-762-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 HAWTHORNE ST",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081661",
            "telephone_number": "320-762-2309",
            "fax_number": "320-762-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE REGION FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "HURLEN",
        "authorized_official_first_name": "BJORN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "320-762-2309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.