Active NPI
Wohlrabe Chiropractic & Acupuncture, P.a.
- Chiropractor
- Trimont, MN
National Provider Identifier
1356670442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1935
- Legal business name
- WOHLRABE CHIROPRACTIC & ACUPUNCTURE, P.A.
- Practice address
- 11 Chestnut St E
P.O. Box L
Trimont, MN 56176-9678 - Phone
- (507) 639-2002
- NPI assigned
- Dec 18, 2009
- Last updated
- Dec 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dale Lynn Wohlrabe, DC
- Title
- President
- Phone
- (507) 639-2002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1935 | MN | Primary |
Addresses
Primary practice location
11 Chestnut St E
P.O. Box L
Trimont, MN 56176-9678
Mailing address
11 Chestnut St E
P.O. Box L
Trimont, MN 56176-9678
Phone (507) 639-2002
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 844727600 | Medicaid | MN | |
| OG496-WO | Other | BLUE CROSS BLUE SHIELD OF MINNESOTA | |
| 350031718 | Other | PALMETTO GBA | |
| 3590000121 | Other | WPS MEDICARE PART B |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1261094400000",
"number": "1356670442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 CHESTNUT ST E",
"address_2": "P.O. BOX L",
"city": "TRIMONT",
"state": "MN",
"postal_code": "561769678",
"telephone_number": "507-639-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CHESTNUT ST E",
"address_2": "P.O. BOX L",
"city": "TRIMONT",
"state": "MN",
"postal_code": "561769678",
"telephone_number": "507-639-2002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOHLRABE CHIROPRACTIC & ACUPUNCTURE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-18",
"last_updated": "2009-12-18",
"status": "A",
"authorized_official_last_name": "WOHLRABE",
"authorized_official_first_name": "DALE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-639-2002",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1935",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "844727600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF MINNESOTA",
"identifier": "OG496-WO",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "350031718",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WPS MEDICARE PART B",
"identifier": "3590000121",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Trimont, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.