Brainerd Lakes Wellness, PC
Organization Active NPI Chiropractor · Baxter, MN
NPI 1316260417 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1316260417
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5326 (MN)
- Legal business name
- BRAINERD LAKES WELLNESS, PC
- Practice address
- 7656 Design Rd Ste 100
Baxter, MN 56425-8676 - Phone
- (218) 838-3335
- Fax
- (218) 454-9356
- NPI assigned
- Mar 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Dillon Lee Remmick, D.C.
- Title
- Chiropractor
- Phone
- (218) 838-3335
Practitioners 5
-
Dillon Lee Remmick, D.C.
-
Kasi Zack, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100720000977 | MN | Part B Supplier - Clinic/Group Practice | 3476685843 |
Receives reassigned benefits from 2 practitioners Practice locations: Baxter, MN |
National Provider Directory
Locations
7818 Excelsior Rd
Baxter, MN 56425
Phone (218) 450-4045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5326 | MN | Yes |
Addresses
Primary practice location
7656 Design Rd Ste 100
Baxter, MN 56425-8676
Mailing address
7656 Design Rd Ste 100
Baxter, MN 56425-8676
Phone (218) 838-3335
Other providers in Baxter, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. 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.